Demattia, Laure G

Demattia, Laure G is an individual health care provider with primary practice located at 2821 36Th Ave Nw Ste 200 , Norman OK 73072-2477. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Obesity Medicine is her primary health care specialty. Demattia, Laure G can be contacted via phone (405) 515-2049.

Contact Information

Primary practice address
2821 36Th Ave Nw Ste 200 Norman OK 73072-2477
Phone: (405) 515-2049
Fax: (405) 307-5630
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 45995 Wisconsin
Allopathic & Osteopathic Physicians / Obesity Medicine 207QB0002X 53690 Minnesota
Allopathic & Osteopathic Physicians / Obesity Medicine 207QB0002X 5912 Oklahoma

Profile Details

NPI number 1235181579
LBN Legal business name Demattia, Laure G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 28th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235181579 NPPES
Other 006906261I HUMANA
MEDICAID 43508500 HUMANA

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