Individual
LAURIE J HAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1208 BLUE WISTER CV, EDMOND, OK 73013-1367
(405) 255-4519
Mailing address
1208 BLUE WISTER CV, EDMOND, OK 73013-1367
(405) 255-4519
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
19623
OK
Other
Enumeration date
03/10/2006
Last updated
05/11/2011
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