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Individual

LAURANNE HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5701 N PORTLAND, SUITE 201, OKLAHOMA CITY, OK 73112
(405) 949-6420
(405) 949-6413
Mailing address
5701 N PORTLAND, SUITE 201, OKLAHOMA CITY, OK 73112
(405) 949-6420
(405) 949-6413

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16550
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100031600A
OK
01
160014970
RAILROAD MEDICARE
01
16550
STATE MEDICAL LICENSE
OK
Enumeration date
08/12/2005
Last updated
02/08/2013
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