Anderson, Laurie Harlan

Anderson, Laurie Harlan is an individual health care provider with primary practice located at 601 W Maple Ave Suite 401, Springdale AR 72764-5335. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Anderson, Laurie Harlan can be contacted via phone (479) 751-2989.

Contact Information

Primary practice address
601 W Maple Ave Suite 401 Springdale AR 72764-5335
Fax: (479) 757-2989
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C8262 Arkansas

Profile Details

NPI number 1588608699
LBN Legal business name Anderson, Laurie Harlan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Feb 18th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588608699 NPPES
Arkansas MEDICAID 135729001

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