OrganizationActive
19th Medgrp-Little Rock
NPI 1073591830 · Military/U.S. Coast Guard Outpatient Clinic/Center · Lr Afb, AR
Provider details
- NPI number
- 1073591830
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 19th Medgrp-Little Rock
- Authorized official
- Jen Lewandowski, Air Force Ubo Analyst
Practice location
1090 Arnold Dr
Lr Afb, AR 72099-4933
Phone: (501) 987-7414
Fax: (501) 987-7310
Mailing address
1090 Arnold Dr
Lr Afb, AR 72099-4933
Registry dates
- Enumerated
- 2006-01-03
- Last updated
- 2025-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.