White, Laura

White, Laura is an individual health care provider with primary practice located at 4202 Sw Lee Blvd Building B, Suite 100, Lawton OK 73505-8343. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. White, Laura can be contacted via phone (580) 368-0808.

Contact Information

Primary practice address
4202 Sw Lee Blvd Building B, Suite 100 Lawton OK 73505-8343
Phone: (580) 368-0808
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5855 Oklahoma
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5101018070 Michigan

Profile Details

NPI number 1104053776
LBN Legal business name White, Laura
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2009
Last updated Mar 11th, 2020 - about 4 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 1104053776 NPPES
Michigan Other 5101018070 OSTEOPATHIC MEDICAL LICENSE
Michigan Other 5315039961 OSTEOPATHIC MEDICAL LICENSE

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