LAZORA LYNETTE LEAVY

JACKSONVILLE, AR
NPI1083447437
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: AR  2125)
Enumeration Date2024-08-21
Last Update Date2024-08-21
Business Address
LAZORA LYNETTE LEAVY
900 SHALL CT
JACKSONVILLE, AR 72076-2422
Phone number: 501-680-7499
Mailing Address
LAZORA LYNETTE LEAVY
900 SHALL CT
JACKSONVILLE, AR 72076-2422
Phone number: 501-680-7499