| 20lighter, LLC | |
|
10201 W Markham St Ste 234 Little Rock AR 72205-2128 | |
| (307) 287-1555 | |
| Not Available |
| Full Name | 20lighter, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 10201 W Markham St Ste 234, Little Rock, Arkansas |
| Authorized Official Name and Position | Jessica Barnes (CEO) |
| Authorized Official Contact | 3072871555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 20lighter, LLC 1903 S Greeley Hwy # 324 Cheyenne WY 82007-3447 | 20lighter, LLC 10201 W Markham St Ste 234 Little Rock AR 72205-2128 Ph: (307) 287-1555 |
| NPI Number | 1922764604 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 12/27/2021 |
| Certification Date | 12/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922764604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 261QH0100X | Clinic/center - Health Service | () | Secondary |
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