Individual
LORRY C KROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 579-1444
Mailing address
4722 N 24TH ST, SUITE 150, PHOENIX, AZ 85016-4800
(877) 737-4546
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
21271
OK
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
21271
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097570A
—
OK
Enumeration date
03/18/2006
Last updated
02/26/2016
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