Individual
LAURA M YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2825 PARKLAWN DR, RADIOLOGY DEPT., MIDWEST CITY, OK 73110-4201
(405) 610-8398
Mailing address
2527 CRANBERRY HWY, WAREHAM, MA 02571-1046
(800) 841-3500
(508) 273-1241
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21252
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050885071
BC/BS
OK
01
—
11845754
CAQH
—
05
—
200012950A
—
OK
Enumeration date
03/27/2006
Last updated
02/05/2018
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