| NPI | 1285865865 |
|---|---|
| Former Legal Business Name | LISA A DUCKWORTH MD PA |
| Entity Type | Organization |
| Authorized Contact | LISA A BEARDEN Md/Owner 870-534-3608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AR e-6081) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2010-09-30 |