Provider Demographics
NPI:1497844849
Name:HUGHES, LAURIE OLBRICH (MD)
Entity type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:OLBRICH
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LAURIE
Other - Middle Name:THERESA
Other - Last Name:OLBRICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:46 KINGS ARMS RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72227-2120
Mailing Address - Country:US
Mailing Address - Phone:501-225-7895
Mailing Address - Fax:501-224-7462
Practice Address - Street 1:46 KINGS ARMS RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72227-2120
Practice Address - Country:US
Practice Address - Phone:501-225-7895
Practice Address - Fax:501-224-7462
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-0190207X00000X, 207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Not Answered207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5J464OtherBLUE CROSS/BLUE SHIELD
AR5J464OtherBLUE CROSS/BLUE SHIELD
BH3613672OtherDEA NUMBER
AR5J464Medicare ID - Type Unspecified