Laurence Connelley

Primary specialty

PodiatristTaxonomy code 213E00000X

License

59 Issued in AR

Legal business name

LAURENCE CONNELLEY

Doing business as

West Little Rock Foot Clinic

Practice address

10020 W Markham St
Little Rock, AR 72205-2130

Phone

(501) 221-2266

Fax

(501) 224-5660

NPI assigned

May 9, 2007

Last updated

Jun 24, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laurence Kenneth Connelley Jr., D.P.M.

Title

Sole Proprietor

Phone

(501) 221-2266

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• West Little Rock Foot Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1962616227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052130",
            "telephone_number": "501-221-2266",
            "fax_number": "501-224-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052130",
            "telephone_number": "501-221-2266",
            "fax_number": "501-224-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENCE CONNELLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "CONNELLEY",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "501-221-2266",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AR",
            "license": "59",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104333717",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480015481",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128479748",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Little Rock Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Lathan, PHARMACIST
• Ashley Yolanda Clarencia Latimer, LPC
• Chrystal Lau-Stone, MD
• Lucinda E. Lau, APN
• Jennifer Laudadio, M.D.
• Martha Lauster, MD
• Cassandra Coleman Lautredou, MD
• Robert C Lavender, MD
• Crystal Nichole Lavey, PHARMD
• Rakesh Lavu, M.B.B.S (M.D)

• Podiatrist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Podiatrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.