Smith, Lara Stephanie

Smith, Lara Stephanie is an individual health care provider with primary practice located at 2801 S Bryant Ave , Edmond OK 73013-6137. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Smith, Lara Stephanie can be contacted via phone (405) 340-9191.

Contact Information

Primary practice address
2801 S Bryant Ave Edmond OK 73013-6137
Fax: (405) 340-9185
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 314 Oklahoma

Profile Details

NPI number 1255472049
LBN Legal business name Smith, Lara Stephanie
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Dec 30th, 2019 - 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 1255472049 NPPES
Oklahoma MEDICAID 200067420A

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