Individual
DR. LORA RUTH MCBAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 777-3521
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 777-3521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2098
TN
207Q00000X
Family Medicine Physician
Primary
34008136
OH
207Q00000X
Family Medicine Physician
37770
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2569046
—
OH
01
—
DA5101
RR MEDICARE
OH
Enumeration date
06/08/2006
Last updated
12/04/2015
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