Whalio Doctors

NPI 1548426034

Lyndal Green, OTRL

Practitioner Contractor Little Rock, AR

Practice location

Address
11517 Kanis Rd, Little Rock, AR 72211-3724
Phone
(501) 993-8707
Fax
(501) 223-8075
Mailing address
5 Christopher Cv, Little Rock, AR 72223-2166

Registered specialties

Contractor Primary
Other Service Providers Taxonomy 171W00000X Licence OTR335 (AR)

Registry record

NPI
1548426034
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Aug 2008
Record last updated
4 Aug 2008

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.