Individual
LABERTA LAURETTE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1120 E MAIN ST, NORMAN, OK 73071-5300
(405) 360-5100
Mailing address
7409 SW 105TH ST, OKLAHOMA CITY, OK 73173-7717
(405) 501-1821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0105497
OK
164W00000X
Licensed Practical Nurse
L0046096
OK
Other
Enumeration date
06/01/2007
Last updated
04/26/2024
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