Organization
LAURA'S TOTAL BODY SOLUTIONS SPA TULSA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA JEAN WIDNEY (PARTNER)
(918) 770-2271
Entity
Organization
Contact information
Practice address
7127 S YALE AVE, TULSA, OK 74136-6308
(918) 698-1866
Mailing address
29560 S PINE VALLEY DR, CATOOSA, OK 74015-6149
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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