Individual
KARI M. LAXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1318 E INDEPENDENCE ST, SHAWNEE, OK 74804-4137
(405) 275-1801
(866) 347-6279
Mailing address
1800 ANADARKO PL, EDMOND, OK 73013-7732
(405) 209-2748
(866) 347-6279
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3606
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200244370B
—
OK
Enumeration date
05/15/2009
Last updated
10/09/2014
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