Laurie Elizabeth Mickle in Owasso - Pediatrics
Laurie Elizabeth Mickle - NPI 1194779744
Laurie Elizabeth Mickle is a Pediatrics in Owasso, Oklahoma. Laurie Elizabeth Mickle practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Laurie Elizabeth Mickle is 1194779744. The last update date is 2014-05-03.
Laurie Elizabeth Mickle's current location address is 10512 N 110th East Ave, Owasso, Oklahoma. You can contact this provider via phone number 9183768901 and fax number 9183768939. The mailing address for Laurie Elizabeth Mickle is 10512 N 110th East Ave, Owasso, Oklahoma. To know further, please read the information below!
Provider Profile Detail
Provider Name | Laurie Elizabeth Mickle |
---|---|
Address | 10512 N 110th East Ave, Owasso, Oklahoma |
Phone Number | 9183768901 |
Fax Number | 9183768939 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1194779744 |
---|---|
Provider Enumeration Date | 2006-05-19 |
Last Updated Date | 2014-05-03 |
Provider Mailing Address Detail
Address | 10512 N 110th East Ave |
---|---|
City | Owasso |
State | Oklahoma (OK) |
Post Code | 740556636 |
Phone Number | 9183768901 |
Fax Number | 9183768939 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
---|---|
Taxonomy | 208000000X |
Licence No | 17332 |
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
100090800A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Laurie Elizabeth Mickle by the Centers for Medicare & Medicaid Services?
The Laurie Elizabeth Mickle has been issued the NPI (National Provider Identifier) 1194779744, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Laurie Elizabeth Mickle is geographically located?
The Laurie Elizabeth Mickle is physically situated at the following location: 10512 N 110Th East Ave, Owasso, OK, 740556636.
What is Laurie Elizabeth Mickle'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 Elizabeth Mickle is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
On what date did Laurie Elizabeth Mickle receive its 1194779744 assignment from the Centers for Medicare & Medicaid Services?
The Laurie Elizabeth Mickle was assigned its 1194779744 on 2006-05-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Laurie Elizabeth Mickle most recently updated or revised?
The information pertaining to Laurie Elizabeth Mickle, including its address, specialty, and other relevant details, was last updated or revised on 2014-05-03.