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NPI Code Detail

MEDICARE: MRS. LANA ANN ELKINS M.ED.

MEDICARE: MRS. LANA ANN ELKINS M.ED.
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
1101YM0800XMental Health CounselorP9009017AR

General Provider Information

NPI Number : 1205824539
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LANA ANN ELKINS M.ED.
Provider Business Mailing Address
First Line : 2200 DUNDEE DR
Second Line :
City : FORT SMITH
State : AR
Zip : 72908-0933
Country : US
Telephone Number : 479-452-6937
Fax Number : 479-646-3828
Provider Business Practice Location Address
First Line : 3444 OLD GREENWOOD RD
Second Line : SUITE C
City : FORT SMITH
State : AR
Zip : 72903-5462
Country : US
Telephone Number : 479-452-6937
Fax Number : 479-646-3828
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. LANA ANN ELKINS M.ED.” Practice Location

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