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Laurie De Roque — NPI 1881751279, Clinton, AR | NPI Central

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NPI 1881751279

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Laurie De Roque

NPI 1881751279 · Contractor · Clinton, AR

Provider details

NPI number: 1881751279
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Sex: Female
Sole proprietor: Yes
License: OTR1268 (AR)

Specialties & taxonomies

ContractorPrimary171W00000XLicense OTR1268 (AR)
Other Service Providers

Practice location

851 Yellowjacket Ln

Clinton, AR 72031-6873

Phone: (501) 745-6034

Approximate (ZIP-level) locationGet directions

More AR providers

Mailing address

1840 Columbia Dr

Conway, AR 72034-7392

Registry dates

Enumerated: 2007-01-03
Last updated: 2007-07-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.