Marla Denise Lane

Individual provider Active NPI Case Manager/Care Coordinator · Brinkley, AR

NPI 1285136366 · NPPES record last updated Mar 5, 2018

Key facts

NPI
1285136366
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
490 Broadmoor Dr
Brinkley, AR 72021-2057
Phone
(870) 734-3202
Fax
(870) 734-3299
NPI assigned
Mar 5, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

490 Broadmoor Dr
Brinkley, AR 72021-2057

Mailing address

2707 Browns LN
Jonesboro, AR 72401-7213
Phone (870) 972-4939

Other providers in Brinkley, AR

All providers in Brinkley, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

Verify at the official NPI Registry.