De Roque, Laurie

De Roque, Laurie is an sole proprietor health care provider with primary practice located at 851 Yellowjacket Ln , Clinton AR 72031-6873. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. De Roque, Laurie can be contacted via phone (501) 745-6034.

Contact Information

Primary practice address
851 Yellowjacket Ln Clinton AR 72031-6873
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X OTR1268 Arkansas

Profile Details

NPI number 1881751279
LBN Legal business name De Roque, Laurie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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