Individual
MR. MICHAEL G. LAURENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6720 NW 32ND ST, BETHANY, OK 73008-3904
(405) 495-9253
Mailing address
6720 NW 32ND ST, BETHANY, OK 73008-3904
(405) 495-9253
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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