Individual provider · Type 1 NPI

Laurie De Roque

Contractor · Clinton, AR

NPI number 1881751279 Active

Practice location

851 Yellowjacket Ln
Clinton, AR 72031-6873

Mailing address

1840 Columbia Dr
Conway, AR 72034-7392

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XOTR1268 (AR)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1881751279

Laurie De Roque's National Provider Identifier is 1881751279, issued on Jan 3, 2007. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Clinton, AR. The record was last updated on Jul 9, 2007.