# LAURANNE HARRIS, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770881062
- **Authorized official:** LAURANNE HARRIS M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (405) 949-6420

## Contact information

- **Practice address:** 5701 N PORTLAND AVE, SUITE 201, OKLAHOMA CITY, OK 73112-1678
- **Practice address phone:** (405) 949-6420
- **Practice address fax:** (405) 949-6413
- **Mailing address:** 5701 N PORTLAND AVE, SUITE 201, OKLAHOMA CITY, OK 73112-1678
- **Mailing address phone:** (405) 949-6420
- **Mailing address fax:** (405) 949-6413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 16550 | OK | Yes |

## Other

- **Enumeration date:** 03/10/2011
- **Last updated:** 10/17/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100031600A | — | OK |
| 01 | — | 226766059-001 | BLUE CROSS/BLUE SHIELD | — |