Individual
MRS. LAURIE JEAN SHAMBURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2412 HUMMINGBIRD LN, PONCA CITY, OK 74604-2815
(580) 762-6761
Mailing address
2412 HUMMINGBIRD LN, PONCA CITY, OK 74604-2815
(580) 762-6761
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0075127
OK
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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