Easterwood, Lara Jean

Easterwood, Lara Jean is an individual health care provider with primary practice located at 5101 W Memorial Rd , Oklahoma City OK 73142-2018. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Easterwood, Lara Jean can be contacted via phone (405) 752-9600.

Contact Information

Primary practice address
5101 W Memorial Rd Oklahoma City OK 73142-2018
Phone: (405) 752-9600
Fax: (405) 752-9650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 76862 Oklahoma

Profile Details

NPI number 1790974103
LBN Legal business name Easterwood, Lara Jean
Credentials ARNP-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2007
Last updated Aug 20th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790974103 NPPES
Oklahoma MEDICAID 200186830A

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