Individual
LARISSA L MADORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4140 W MEMORIAL RD, #413, OKLAHOMA CITY, OK 73120-8366
(405) 755-2230
Mailing address
4140 W MEMORIAL RD, #413, OKLAHOMA CITY, OK 73120-8366
(405) 755-2230
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25112
OK
Other
Enumeration date
02/12/2007
Last updated
04/17/2009
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