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NPI Code Detail

MEDICARE: LENA GABRAHANA

MEDICARE:   LENA  GABRAHANA
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
1246Z00000XOther Specialist/TechnologistAR

General Provider Information

NPI Number : 1477393262
Entity Type Code : Individual
Provider Name (Legal Business Name) : LENA GABRAHANA
Provider Business Mailing Address
First Line : 1222 MAIN ST
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72202-5032
Country : US
Telephone Number : 501-902-3344
Fax Number :
Provider Business Practice Location Address
First Line : 1222 MAIN ST
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72202-5032
Country : US
Telephone Number : 501-366-6160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2024
Last Update Date : 05/29/2024

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Directions to “ LENA GABRAHANA ” Practice Location

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