Individual
MS. LARA STEPHANIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2801 S BRYANT AVE, EDMOND, OK 73013-6137
(405) 340-9191
(405) 340-9185
Mailing address
1621A MIDTOWN PL, MIDWEST CITY, OK 73130-6348
(405) 340-9191
(405) 340-9185
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
314
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200067420A
—
OK
Enumeration date
02/12/2007
Last updated
12/30/2019
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