Individual
DR. LAUREL ELIZABETH STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1030 E CHERRY ST, CUSHING, OK 74023-4102
(918) 225-0616
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013
(918) 579-3825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6503
OK
Other
Enumeration date
06/29/2017
Last updated
09/16/2020
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