| B. Brooks Lawrence, M.d., P.a. | |
|
3650 College Ave Conway AR 72034-7272 | |
| (501) 327-6900 | |
| (501) 327-3690 |
| Full Name | B. Brooks Lawrence, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 3650 College Ave, Conway, Arkansas |
| Authorized Official Name and Position | B Brooks Lawrence (PRESIDENT) |
| Authorized Official Contact | 5013276900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B. Brooks Lawrence, M.d., P.a. Po Box 10581 Conway AR 72034-0009 Ph: (501) 327-6900 | B. Brooks Lawrence, M.d., P.a. 3650 College Ave Conway AR 72034-7272 Ph: (501) 327-6900 |
| NPI Number | 1427217611 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 07/14/2008 |
| Medicare PECOS PAC ID | 1355538281 |
|---|---|
| Medicare Enrollment ID | O20101204000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427217611 | NPI | - | NPPES |
| 16918000000 | Other | AR | QUAL CHOICE |
| 5K059 | Other | AR | HEALTH ADVANTAGE |
| 129592002 | Medicaid | AR | |
| 432352883 | Other | AR | NOVASYS |
| 7464032 | Other | AR | AETNA |
| 392651 | Other | AR | HEALTH LINK |
| 0722160002 | Other | AR | CIGNA |
| FP98253 | Other | AR | UNITED HEALTHCARE |
| 5K059 | Other | AR | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C8006 (Arkansas) | Primary |
| Provider Name | Bill B Lawrence |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154344810 PECOS PAC ID: 5991992828 Enrollment ID: I20101204000082 |
| Provider Name | Joshua T Csonka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942922547 PECOS PAC ID: 7517335334 Enrollment ID: I20221128002280 |
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