Provider Demographics
NPI:1205005667
Name:LITTLE ROCK HEMATOLOGY ONCOLOGY
Entity Type:Organization
Organization Name:LITTLE ROCK HEMATOLOGY ONCOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MENDELSOHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-219-8777
Mailing Address - Street 1:9500 LILE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6319
Mailing Address - Country:US
Mailing Address - Phone:501-219-8777
Mailing Address - Fax:501-907-6522
Practice Address - Street 1:9500 KANIS RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6324
Practice Address - Country:US
Practice Address - Phone:501-219-8777
Practice Address - Fax:501-907-6522
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LITTLE ROCK HEMATOLOGY ONCOLOGY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-29
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty