Laurie C. Clark DO
Family Medicine Physician in Tulsa, OK(View on Map)
Full Name
Laurie C Clark DO
NPI Number
1801864178
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/10/2006
Specialties
(Taxonomies)Licenses
State
California
Illinois
Oklahoma
License Number
20A10664
036130673
2356
Contact
Information
Purpose
Mailing
Location
Address
14002 E 21ST ST STE 1130
14002 E 21ST ST STE 1130
City
Tulsa
Tulsa
State
OK
OK
Postal Code
74134-1408
74134-1408
Country
US
US
Telephone Number
(918) 439-1500
(918) 439-1500
Identifiers
Identifier
100136290C
Identifier State
OK
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/13/2019