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1700431723
TIFFANY LACK
MAUMELLE, AR
NPI
1700431723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR 123569)
Enumeration Date
2019-08-06
Last Update Date
2024-04-24
Business 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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Mailing Address
TIFFANY LACK APRN, FNP-BC
2001 CLUB MANOR DR STE S
MAUMELLE, AR 72113-7417
Phone number: 501-734-8085
Copy
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