Individual
DR. LAURIE LYNN SOUTHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, MS, DDS
Contact information
Practice address
5010 E 68TH ST, SUITE 104, TULSA, OK 74136-3323
(918) 493-3880
(918) 492-8564
Mailing address
5010 E 68TH ST, SUITE 104, TULSA, OK 74136-3323
(918) 493-3880
(918) 492-8564
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5119
OK
Other
Enumeration date
03/26/2007
Last updated
03/08/2016
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