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Individual

LAWRENCE J. ROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3100 SW 89TH ST, OKLAHOMA CITY, OK 73159-7900
(405) 602-8100
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14791
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100825130B
OK
Enumeration date
12/02/2005
Last updated
07/21/2022
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