Healthcare Provider Details

I. General information

NPI: 1013872209
Provider Name (Legal Business Name): DARRIN LA GRONE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: SANAIDA GOODNER-LAGRONE

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 GELAN CT
LITTLE ROCK AR
72223-9116
US

IV. Provider business mailing address

10 GELAN CT
LITTLE ROCK AR
72223-9116
US

V. Phone/Fax

Practice location:
  • Phone: 501-297-9492
  • Fax:
Mailing address:
  • Phone: 501-297-9294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: