Individual
LAURIE LINN HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
Mailing address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
20A8886
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
3891
OK
207V00000X
Obstetrics & Gynecology Physician
DO25177
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100211740A
—
OK
01
—
1407812365
MEDICARE GROUP NPI NUMBER
OR
01
—
371803
GROUP MEDICARE PTAN
OK
01
—
CB3544
TRAV RR GROUP NUMBER
OR
01
—
P00412787
TRAV RR PTAN NUMBER
OR
01
—
R0000WFBTV
MEDICARE GROUP PIN NUMBER
OR
Enumeration date
11/18/2005
Last updated
01/10/2018
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