Individual
MEREDITH ISABELLE LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N LINCOLN BLVD, OKLAHOMA CITY, OK 73104-3252
(908) 370-8869
Mailing address
800 NE 10TH ST, OKLAHOMA CITY, OK 73104-5418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
319126
NY
207RX0202X
Medical Oncology Physician
Primary
43153
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2018
Last updated
08/28/2024
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