# LAURA'S TOTAL BODY SOLUTIONS SPA TULSA LLC

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

## Provider details

- **NPI number:** 1891204244
- **Authorized official:** LAURA JEAN WIDNEY (PARTNER)
- **Authorized official phone:** (918) 770-2271

## Contact information

- **Practice address:** 7127 S YALE AVE, TULSA, OK 74136-6308
- **Practice address phone:** (918) 698-1866
- **Mailing address:** 29560 S PINE VALLEY DR, CATOOSA, OK 74015-6149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/28/2017
- **Last updated:** 09/28/2017