Individual
CARL LEE LAFFOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
5100 E HWY 37, TUTTLE, OK 73089-8581
(405) 381-5111
(405) 381-5138
Mailing address
5100 E HWY 37, TUTTLE, OK 73089-8581
(405) 381-5111
(405) 381-5138
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R54748
OK
363LF0000X
Family Nurse Practitioner
Primary
R0054748
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200002980D
—
OK
Enumeration date
11/08/2005
Last updated
03/07/2023
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