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
Phone: (918) 599-8200
Fax: (918) 579-2559
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114923794 | NPPES |
Oklahoma | MEDICAID | 100136020B |
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