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Individual

DR. LAURIE WOLFORD FLYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1819 E 19TH ST FL 5, TULSA, OK 74104-5407
(918) 505-3200
(855) 578-9798
Mailing address
12697 E 51ST ST, TULSA, OK 74146-6236
(918) 505-9320
(855) 578-9798

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25262
OK
2086X0206X
Surgical Oncology Physician
Primary
25262
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200094530A
OK
01
P00462134
RAILROAD MEDICARE
OK
Enumeration date
08/23/2006
Last updated
10/19/2021
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