| Lydia M Teague, | |
|
4 Hospital Dr, Morrilton, AR 72110 | |
| (501) 977-2300 | |
| (501) 977-2256 |
| Full Name | Lydia M Teague |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4 Hospital Dr, Morrilton, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578585162 | NPI | - | NPPES |
| 136786701 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | C00401 (Arkansas) | Primary |
| 163W00000X | Registered Nurse | R25489 (Arkansas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia M Teague, 4 Hospital Dr, Morrilton, AR 72110 Ph: (501) 977-2300 | Lydia M Teague, 4 Hospital Dr, Morrilton, AR 72110 Ph: (501) 977-2300 |
Jeromy Eugene Teague, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4 Hospital Dr, Morrilton, AR 72110 Phone: 501-977-2300 |
Ms. Donna Elizabeth Wheeler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4 Hospital Dr, Morrilton, AR 72110 Phone: 501-664-4532 Fax: 501-663-4335 |