Theobald, Lara
Theobald, Lara is an individual health care provider with primary practice located at 5915 W Memorial Rd Suite 200, Oklahoma City OK 73142-2021. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Theobald, Lara can be contacted via phone (405) 773-6400.Contact Information
Primary practice address
5915 W Memorial Rd Suite 200
Oklahoma City OK 73142-2021
Phone: (405) 773-6400
Fax: (405) 621-5441
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 22010 | Oklahoma |
Profile Details
NPI number | 1376690271 |
---|---|
LBN Legal business name | Theobald, Lara |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 4th, 2007 |
Last updated | Jun 27th, 2017 - about 8 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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