Individual
DR. LAURIE ANN DUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1809 E 13TH ST STE 400, TULSA, OK 74104-4431
(918) 599-8200
(918) 579-2559
Mailing address
1809 E 13TH ST STE 400, TULSA, OK 74104-4431
(918) 599-8200
(918) 579-2559
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2860
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100136020B
—
OK
Enumeration date
06/28/2005
Last updated
03/15/2018
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