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Organization
LAURANNE HARRIS, M.D., INC.
Active
Organization
LAURANNE HARRIS, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURANNE HARRIS M.D. (OWNER/PRESIDENT)
(405) 949-6420
Entity
Organization
Contact information
Practice address
5701 N PORTLAND AVE, SUITE 201, OKLAHOMA CITY, OK 73112-1678
(405) 949-6420
(405) 949-6413
Mailing address
5701 N PORTLAND AVE, SUITE 201, OKLAHOMA CITY, OK 73112-1678
(405) 949-6420
(405) 949-6413
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
16550
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100031600A
—
OK
01
—
226766059-001
BLUE CROSS/BLUE SHIELD
—
Enumeration date
03/10/2011
Last updated
10/17/2023
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