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Laurie De Roque
NPI 1881751279 · on the registry since 2007 · sole proprietor
Practice
- Address
- 851 Yellowjacket Ln
Clinton, AR 72031 - Phone
- (501) 745-6034
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas