Individual
DR. LAURA M OTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(201) 227-8000
(501) 221-5872
Mailing address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(201) 227-8000
(501) 221-5850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N-7194
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113693001
—
AR
01
—
686431
MEDICARE ID# FOR CHI ST. VINCENT LITTLE ROCK DIAGNOSTIC CLINIC
AR
Enumeration date
11/01/2006
Last updated
04/17/2019
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