Individual
ELEANOR LASTRAPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104
(405) 271-8001
Mailing address
920 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5036
(405) 271-8001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
009510119
LA
Other
Enumeration date
05/14/2018
Last updated
07/26/2018
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