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NPI Code Detail

MEDICARE: BRITTNEE LAURENT

MEDICARE:   BRITTNEE  LAURENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1023809316
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTNEE LAURENT
Provider Business Mailing Address
First Line : PO BOX 2109
Second Line :
City : RUSSELLVILLE
State : AR
Zip : 72811-2109
Country : US
Telephone Number : 479-967-2322
Fax Number : 479-339-8760
Provider Business Practice Location Address
First Line : 5003 OLD GREENWOOD RD STE B
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-6924
Country : US
Telephone Number : 479-280-9980
Fax Number : 501-421-2336
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2025
Last Update Date : 05/15/2025

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Directions to “ BRITTNEE LAURENT ” Practice Location

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