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Individual

LAURIE LEIGH ISENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
7333 E 121ST ST S, BIXBY, OK 74008
(918) 403-7140
(918) 856-5392
Mailing address
7333 E 121ST ST S, BIXBY, OK 74008-2654
(918) 403-7140
(918) 856-5392

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1342
OK

Other

Enumeration date
07/14/2006
Last updated
07/10/2019
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