Individual
MARTHA LAFAYETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 S CARSON AVE, TULSA, OK 74119-4610
(918) 984-7162
Mailing address
2562 E 48TH ST N, TULSA, OK 74130-2019
(918) 984-7162
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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