Individual
DR. KRISTIN LAIZURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 582-1980
Mailing address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 582-1980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1699031559
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699031559
—
OK
Enumeration date
04/04/2012
Last updated
09/17/2019
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