Laurie C Clark in Tulsa - Family Medicine

Laurie C Clark - NPI 1801864178

Laurie C Clark is a Family Medicine in Tulsa, Oklahoma. Laurie C Clark practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Laurie C Clark is 1801864178. The last update date is 2019-02-13.

Laurie C Clark's current location address is 14002 E 21st St Ste 1130, Tulsa, Oklahoma. You can contact this provider via phone number 9184391500 and fax number 9184391199. The mailing address for Laurie C Clark is 14002 E 21st St Ste 1130, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Laurie C Clark
Address 14002 E 21st St Ste 1130, Tulsa, Oklahoma
Phone Number 9184391500
Fax Number 9184391199
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1801864178
Provider Enumeration Date 2006-03-10
Last Updated Date 2019-02-13

Provider Mailing Address Detail

Address 14002 E 21st St Ste 1130
City Tulsa
State Oklahoma (OK)
Post Code 741341408
Phone Number 9184391500
Fax Number 9184391199

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 20A10664
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100136290C OK --

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FAQs about Laurie C Clark

What is the unique 10-digit identification code issued to Laurie C Clark by the Centers for Medicare & Medicaid Services?

The Laurie C Clark has been assigned the NPI (National Provider Identifier) 1801864178 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Laurie C Clark?

The Laurie C Clark is physically situated at 14002 E 21St St Ste 1130, in the city of Tulsa, state of OK, with the postal code 741341408.

What is Laurie C Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Laurie C Clark is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the Laurie C Clark receive its 1801864178 assignment from the Centers for Medicare & Medicaid Services?

The Laurie C Clark was assigned its 1801864178 by the Centers for Medicare & Medicaid Services on 2006-03-10.

As of what date were the details related to Laurie C Clark most recently updated or revised?

The information pertaining to Laurie C Clark, including its address, specialty, and other relevant details, was last updated or revised on 2019-02-13.

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