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Individual

LAURA K. CHONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
750 NE 13TH ST, OKLAHOMA CITY, OK 73104-5010
(405) 235-0040
Mailing address
750 NE 13TH ST, OKLAHOMA CITY, OK 73104-5010
(405) 235-0040

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1330-TEP
WI
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
D70933
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036293000
MD
Enumeration date
05/03/2006
Last updated
03/15/2012
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