Lizabeth Carlo, CMP

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

NPI 1407062441 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1407062441
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
304 Shake Rag Rd
Clinton, AR 72031-6619
Phone
(501) 745-6644
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

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

304 Shake Rag Rd
Clinton, AR 72031-6619

Mailing address

PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344

Other providers in Clinton, AR

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

Sources for this page

Verify at the official NPI Registry.