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
Phone: (405) 340-9191
Fax: (405) 340-9185
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255472049 | NPPES |
Oklahoma | MEDICAID | 200067420A |
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