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Individual

LANEY T COMBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3030 N W 164TH ST., SUITE 101, EDMOND, OK 73013
(405) 252-8761
(405) 252-8762
Mailing address
14024 QUAIL POINTE DR, OKLAHOMA CITY, OK 73134-1006
(405) 419-8426
(405) 419-8460

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
116041
OK
363LF0000X
Family Nurse Practitioner
Primary
116041
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200859330A
OK
Enumeration date
07/16/2019
Last updated
10/01/2024
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