Provider Demographics
NPI:1366431041
Name:CRANFORD, LILLIAN ANN (APN)
Entity type:Individual
Prefix:MRS
First Name:LILLIAN
Middle Name:ANN
Last Name:CRANFORD
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:14 HERITAGE PARK CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-8529
Mailing Address - Country:US
Mailing Address - Phone:501-257-2548
Mailing Address - Fax:501-257-2993
Practice Address - Street 1:2200 FORT ROOTS DR
Practice Address - Street 2:117/NLR
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-1709
Practice Address - Country:US
Practice Address - Phone:501-257-2548
Practice Address - Fax:501-257-2993
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01124 ANP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health