Duckett, Laurie Ann

Duckett, Laurie Ann is an individual health care provider with primary practice located at 1809 E 13Th St Ste 400 , Tulsa OK 74104-4431. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Duckett, Laurie Ann can be contacted via phone (918) 599-8200.

Contact Information

Primary practice address
1809 E 13Th St Ste 400 Tulsa OK 74104-4431
Fax: (918) 579-2559
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 2860 Oklahoma

Profile Details

NPI number 1114923794
LBN Legal business name Duckett, Laurie Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Mar 15th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114923794 NPPES
Oklahoma MEDICAID 100136020B

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