NPI 1275960759

Lisa Bass, DIETARYAIDE

Practitioner Dietary Manager Clarksville, AR

Practice location

Address: 522 Mill Rd, Clarksville, AR 72830-8511
Phone: (479) 705-1301
Mailing address: PO Box 1589, Benton, AR 72018-1589

Registered specialties

Dietary Manager Primary

Dietary & Nutritional Service Providers Taxonomy 132700000X

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Registry record

NPI: 1275960759
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2013
Record last updated: 30 Sep 2013

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.