NPI 1558452409

Lisa L. Loftis, D.D.S., P.A.

Organisation Preferred Provider Organization Malvern, AR

Practice location

Address: 306 S Ash St, Malvern, AR 72104-3918
Phone: (501) 332-4979
Fax: (501) 337-7097

Authorised official

Name: Lisa Lynn Loftis
Title: Owner
Phone: (501) 332-4979

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 2905 (AR)

Other Preferred Provider Organization providers in Arkansas →

Registry record

NPI: 1558452409
Entity type: Organization
NPI issued: 27 Sep 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.