Individual
DR. LAURIE HARLAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 W MAPLE AVE, SUITE 401, SPRINGDALE, AR 72764-5335
(479) 751-2989
(479) 757-2989
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-3492
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C8262
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135729001
—
AR
Enumeration date
06/16/2006
Last updated
02/18/2020
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