Bode, Laura Lynn
Bode, Laura Lynn is an individual health care provider with primary practice located at 717 S Houston Ave Ste 400 , Tulsa OK 74127. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bode, Laura Lynn can be contacted via phone (918) 382-4600.Contact Information
Primary practice address
717 S Houston Ave Ste 400
Tulsa OK 74127
Phone: (918) 382-4600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5185 | Oklahoma |
Profile Details
| NPI number | 1578853651 |
|---|---|
| LBN Legal business name | Bode, Laura Lynn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2011 |
| Last updated | Feb 12th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578853651 | NPPES |
| Oklahoma | MEDICAID | 200440820B |
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