Individual
ROBERT LANCE LARUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11708 N BARNES AVE, OKLAHOMA CITY, OK 73120-7846
(405) 417-2510
Mailing address
11708 N BARNES AVE, OKLAHOMA CITY, OK 73120-7846
(405) 417-2510
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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