Individual
LAWRENCE (LARRY) EUGENE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4420 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Mailing address
4674 S WINSTON AVE, TULSA, OK 74135-3216
(918) 565-3665
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
116914
OK
Other
Enumeration date
02/07/2019
Last updated
04/30/2020
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