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NPI Code Detail

MEDICARE: MR. MICHAEL LITT LEMLEY CRNA

MEDICARE: MR. MICHAEL LITT LEMLEY CRNA
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
1367500000XCertified Registered Nurse AnesthetistC00583AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598760365
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL LITT LEMLEY CRNA
Provider Business Mailing Address
First Line : 725 DIANE LN
Second Line :
City : CONWAY
State : AR
Zip : 72034-9362
Country : US
Telephone Number : 501-513-1185
Fax Number : 501-513-1186
Provider Business Practice Location Address
First Line : 11001 EXECUTIVE CENTER DR
Second Line : STE 200
City : LITTLE ROCK
State : AR
Zip : 72211-4316
Country : US
Telephone Number : 501-202-2093
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 05/22/2008

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Directions to “ MR. MICHAEL LITT LEMLEY CRNA” Practice Location

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