Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LETISHIA LYNE EIDE, LMT
Active Sole ProprietorLETISHIA LYNE EIDE, LMT is a Specialist healthcare provider located in MALVERN, Arkansas. NPI 1669687430 is currently active in the NPPES registry. Verify at CMS.
Specialist · MALVERN, AR
Registration Details
- NPI Number
- 1669687430
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 14, 2007 (19.223332210443 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4697 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
910 DYER STMALVERN, AR, 721045253Browse AR providers · Browse ZIP 72104
- Phone
- 5014674445
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.