NPI 1013315357

Lisa Bolles, LPN

Practitioner Licensed Practical Nurse Newport, AR

Practice location

Address: 210 Third St, Newport, AR 72112-3302
Phone: (870) 524-9496
Mailing address: PO Box 1589, Benton, AR 72018-1589

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence L041134 (AR)

Other Licensed Practical Nurse providers in Arkansas →

Registry record

NPI: 1013315357
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Dec 2014
Record last updated: 19 Dec 2014

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.