Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | E-0190 | AR |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | E-0190 | AR |
NPI | 1497844849 |
---|---|
Provider Name | Dr. Laurie Olbrich Hughes |
First Address | Little Rock, AR 72227-2120 |
Second Address | Little Rock, AR 72227-2120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5J464 | BLUE CROSS/BLUE SHIELD (01) | AR |
BH3613672 | DEA NUMBER (01) | |
F73483 | (02) | AR |