Individual
LAURA BETH SHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1201 MAGNOLIA CT STE 109, MOORE, OK 73160-1433
(405) 759-4155
(855) 538-3095
Mailing address
PO BOX 720094, NORMAN, OK 73070-4072
(405) 620-2870
(855) 538-3095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1955
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200317340A
—
OK
Enumeration date
01/18/2011
Last updated
09/02/2025
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