Provider Demographics
NPI:1316211469
Name:VINAL, LISA LYNN (NP)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:LYNN
Last Name:VINAL
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4200 STOCKTON DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-2915
Mailing Address - Country:US
Mailing Address - Phone:501-219-8900
Mailing Address - Fax:501-410-1196
Practice Address - Street 1:4200 STOCKTON DR
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2915
Practice Address - Country:US
Practice Address - Phone:501-219-8900
Practice Address - Fax:501-410-1196
Is Sole Proprietor?:No
Enumeration Date:2012-03-06
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARA005724363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily