Lack, Tiffany
Lack, Tiffany is an individual health care provider with primary practice located at 2001 Club Manor Dr Ste S , Maumelle AR 72113-7417. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lack, Tiffany can be contacted via phone (501) 734-8085.Contact Information
Primary practice address
2001 Club Manor Dr Ste S
Maumelle AR 72113-7417
Phone: (501) 734-8085
Fax: (501) 734-8085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 123569 | Arkansas |
Profile Details
| NPI number | 1700431723 |
|---|---|
| LBN Legal business name | Lack, Tiffany |
| Credentials | APRN, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2019 |
| Last updated | Apr 24th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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