Lofton Family Clinic, MD PA
Family Medicine in De Queen, AR. Organization (NPI-2).
NPI number1316144306
StatusActive
Last updated in NPPESOct 2, 2024
Details
- NPI
- 1316144306
- Entity type
- Organization (NPI-2)
- Legal business name
- Lofton Family Clinic, MD PA
- Organization subpart
- No
- Enumeration date
- Jul 2, 2007
- Certification date
- Oct 2, 2024
- Last updated
- Oct 2, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | E 4640 | AR | Yes |
Practice location
203 W Dequeen AveDe Queen, AR 71832-2809
Phone 870-642-4000 · Fax 870-277-4293
Mailing address
203 W Dequeen AveDe Queen, AR 71832-2809
Phone 870-642-4000 · Fax 870-642-8708
Other practice locations
511 S Park Dr
Broken Bow, OK 74728-5329
Broken Bow, OK 74728-5329
Phone 580-584-6888
Authorized official
Jason D Lofton
Owner
8706424000
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