TIFFANY LACK

MAUMELLE, AR
NPI1700431723
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  123569)
Enumeration Date2019-08-06
Last Update Date2024-04-24
Business Address
TIFFANY LACK APRN, FNP-BC
2001 CLUB MANOR DR STE S
MAUMELLE, AR 72113-7417
Phone number: 501-734-8085
Mailing Address
TIFFANY LACK APRN, FNP-BC
2001 CLUB MANOR DR STE S
MAUMELLE, AR 72113-7417
Phone number: 501-734-8085
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