Individual
TRACE GREGORY LAFFOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2302 COLLEGE AVE, CONWAY, AR 72034-6297
(501) 932-5060
Mailing address
2302 COLLEGE AVE, CONWAY, AR 72034-6297
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
04/22/2026
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