Whalio Doctors

NPI 1427251776

Lavon Jeneen Wood, MD

Practitioner Family Medicine Physician Russellville, AR

Practice location

Address
108 Skyline Dr, Russellville, AR 72801-3362
Phone
(479) 968-7170
Fax
(479) 890-2467

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence E-6054 (AR)

Registry record

NPI
1427251776
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Jun 2007
Record last updated
10 Mar 2017

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.