Individual
DR. LAUREN MICHELLE BLASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2408 E 81ST ST, TULSA, OK 74137-4200
(918) 477-5000
Mailing address
4541 E 28TH ST, TULSA, OK 74114-6236
(330) 550-9813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4782
OK
225100000X
Physical Therapist
PT.014497
OH
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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