IndividualActive
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
Other Service Providers
Practice location
851 Yellowjacket Ln
Clinton, AR 72031-6873
Phone: (501) 745-6034
Approximate (ZIP-level) locationGet directions
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.