Individual
MAYBREE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17505 E 43RD PL S, TULSA, OK 74134-6015
(580) 695-6571
Mailing address
17505 E 43RD PL S, TULSA, OK 74134-6015
(580) 695-6571
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
8054
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2021
Last updated
07/12/2024
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