Healthcare Provider Details

I. General information

NPI: 1053393785
Provider Name (Legal Business Name): LAURA L WILLIAMS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2504 MCCAIN BLVD STE 118
NORTH LITTLE ROCK AR
72116-7624
US

IV. Provider business mailing address

400 S MAIN ST STE 100
SEARCY AR
72143-7801
US

V. Phone/Fax

Practice location:
  • Phone: 501-812-6655
  • Fax: 501-279-9011
Mailing address:
  • Phone: 501-279-9000
  • Fax: 501-372-8401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC-7112
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: