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Wynne Physicians Clinic LLC

NPI 1710517677ActiveOrganization· Family Medicine· Wynne, AR

Family Medicine in Wynne, Arkansas, registered in NPPES in January 2020. The authorized official on file is John Lieblong, President.

Overview

NPI1710517677
StatusActive
Entity typeOrganization
NPI issuedJan 20, 2020
Last updated in NPPESJan 20, 2020
Certified by providerJan 20, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Wynne

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