OrganizationActive
W.a. Lucky LLC.
NPI 1194068734 · Health Maintenance Organization · Fayetteville, AR
Provider details
- NPI number
- 1194068734
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Larry Walker, Owner(479) 442-5677
- License
- A003800 (AR)
Specialties & taxonomies
Managed Care Organizations
Practice location
1753 N College Ave
Ste. 100
Fayetteville, AR 72703-2650
Phone: (479) 442-5677
Approximate (ZIP-level) locationGet directions
Mailing address
1753 N College Ave
Fayetteville, AR 72703-2650
Other names (DBA / former)
- Other name
- Acheive Medical Weightloss
Registry dates
- Enumerated
- 2013-04-02
- Last updated
- 2013-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.