Individual
LACI MARIE PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11200 N PORTLAND AVE, OKLAHOMA CITY, OK 73120-5045
(405) 296-3270
Mailing address
3333 NW 63RD ST STE 106, OKLAHOMA CITY, OK 73116-3710
(405) 296-3270
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33922
OK
Other
Enumeration date
04/17/2018
Last updated
07/11/2024
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