# LAURA SHANNON GILMORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1295764108
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 22979 | OK | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 22979 | OK | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | E7262 | AR | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | MD.206032 | LA | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | N6124 | TX | — |
| 208D00000X | General Practice Physician | 22979 | OK | Yes |
| 208D00000X | General Practice Physician | N6124 | TX | — |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 11/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200086480B | — | OK |
| 01 | — | 22979 | OK LICENSE \# | OK |