Individual provider · Type 1 NPI

Trace Gregory Laffoon

Student in an Organized Health Care Education/Training Program · Conway, AR

NPI number 1689556896 Active

Practice location

437 Denison St
Conway, AR 72034-6127

Call (501) 327-1325 Map

Fax (501) 327-1328

Mailing address

PO Box 9662
Conway, AR 72033-9662

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689556896

Trace Gregory Laffoon's National Provider Identifier is 1689556896, issued on Jul 21, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Conway, AR. The record was last updated on Aug 4, 2026.