LANE CLEMENTS AUSTELL

ROGERS, AR
NPI1285344986
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: AR  PA-1163)
Additional Taxonomies363A00000X Physician Assistant
(Licence: TN  5312)
Enumeration Date2022-12-05
Last Update Date2024-10-31
Business Address
LANE CLEMENTS AUSTELL PA-C
1000 S 52ND ST
ROGERS, AR 72758-8610
Phone number: 479-271-9607
Mailing Address
LANE CLEMENTS AUSTELL PA-C
1000 S 52ND ST
ROGERS, AR 72758-8610
Phone number: 901-517-1434