Individual
MR. JACKSON DONALD LAIZURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
1125 N PORTER AVE STE 301, NORMAN, OK 73071-6443
(405) 360-2777
Mailing address
1125 N PORTER AVE STE 301, NORMAN, OK 73071-6443
(405) 360-2777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
94826
OK
Other
Enumeration date
08/07/2015
Last updated
09/28/2015
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