Suzanne Lanay Fullerton in Little Rock - Pediatrics
Suzanne Lanay Fullerton - NPI 1114075405
Suzanne Lanay Fullerton is a Pediatrics in Little Rock, Arkansas. Suzanne Lanay Fullerton practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Suzanne Lanay Fullerton is 1114075405. The last update date is 2010-12-17.
Suzanne Lanay Fullerton's current location address is 12709 Meadows Edge Ln, Little Rock, Arkansas. You can contact this provider via phone number 5015144938. The mailing address for Suzanne Lanay Fullerton is 12709 Meadows Edge Ln, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzanne Lanay Fullerton |
|---|---|
| Address | 12709 Meadows Edge Ln, Little Rock, Arkansas |
| Phone Number | 5015144938 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTRL |
NPI Number Detail
| NPI Number | 1114075405 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2010-12-17 |
Provider Mailing Address Detail
| Address | 12709 Meadows Edge Ln |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722114443 |
| Phone Number | 5015144938 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | 1058 |
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Definition: Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130689721 | AR | -- | |
| 5X798 | AR | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Suzanne Lanay Fullerton by the Centers for Medicare & Medicaid Services?
The Suzanne Lanay Fullerton has been issued the NPI (National Provider Identifier) 1114075405 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Suzanne Lanay Fullerton?
The Suzanne Lanay Fullerton is physically situated at 12709 Meadows Edge Ln, in the city of Little Rock, state of AR, with the postal code 722114443.
What is Suzanne Lanay Fullerton's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Suzanne Lanay Fullerton is Pediatrics, and the taxonomy code that categorizes this field of expertise is 225Xp0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114075405 to Suzanne Lanay Fullerton?
The Centers for Medicare & Medicaid Services assigned the 1114075405 to Suzanne Lanay Fullerton on 2007-01-05.
As of what date were the details pertaining to Suzanne Lanay Fullerton last refreshed?
The information related to the Suzanne Lanay Fullerton, including its address, specialty, and other relevant details, was last updated on 2010-12-17.