Individual
TYLOR R LAFLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1131 E BRITTON RD, OKLAHOMA CITY, OK 73131-2004
(405) 475-5505
Mailing address
PO BOX 162, PIEDMONT, OK 73078-0162
(405) 475-0870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2418
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12754842
CAQH
—
Enumeration date
12/13/2006
Last updated
06/23/2019
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