Individual
DR. LORA JOYCE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1705 E 19TH ST, SUITE 600, TULSA, OK 74104-5405
(918) 742-8847
(918) 877-1285
Mailing address
6600 S YALE AVE, STE 1200, TULSA, OK 74136-3361
(918) 488-6687
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13779
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100629810B
—
OK
Enumeration date
07/03/2006
Last updated
10/07/2019
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