NPI 1639281959

Lisa Renae Douglas, MHPP

Practitioner Genetic Counselor (M.S.) Fayetteville, AR

Practice location

Address: 12 W Sunbridge Dr, Fayetteville, AR 72703-1822
Phone: (479) 750-2020
Fax: (479) 872-2441
Mailing address: PO Box 6430, Springdale, AR 72766-6430

Registered specialties

Genetic Counselor (M.S.) Primary

Other Service Providers Taxonomy 170300000X

Other Genetic Counselor, MS providers in Arkansas →

Registry record

NPI: 1639281959
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2006
Record last updated: 8 Jul 2007

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.