LANCE GORDON CLOUSE

VAN BUREN, AR
NPI1740249523
Professional NameLANCE GORDON CLOUSE
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  A004094)
Additional Taxonomies111N00000X Chiropractor
(Licence: AR  1386)
Enumeration Date2006-03-21
Last Update Date2019-07-18
Business Address
Mr. LANCE GORDON CLOUSE APRN
623 FAYETTEVILLE RD
VAN BUREN, AR 72956-3418
Phone number: 479-410-2225
Mailing Address
Mr. LANCE GORDON CLOUSE APRN
PO BOX 6577
VAN BUREN, AR 72956-0482
Phone number: 479-410-2225