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Individual

LAURA B SHAMBLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1100 NE 13TH ST, OKLAHOMA CITY, OK 73117-1039
(405) 271-5700
(405) 271-8858
Mailing address
14109 S INDEPENDENCE AVE, OKLAHOMA CITY, OK 73170-5864
(405) 831-8096

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
24650
OK
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
24650
OK

Other

Enumeration date
02/12/2007
Last updated
08/03/2020
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