MEDICARE: CONNIE MARIE LASKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide		AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000	OTHER	AR	0000

General Provider Information

NPI Number	:	1346198843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONNIE MARIE LASKER

Provider Business Mailing Address
First Line	:	9600 WILDERNESS RD
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72209-7138
Country	:	US
Telephone Number	:	501-400-2441
Fax Number	:

Provider Business Practice Location Address
First Line	:	9600 WILDERNESS RD
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72209-7138
Country	:	US
Telephone Number	:	501-400-2441
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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Directions to “ CONNIE MARIE LASKER ” Practice Location

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