DR. LAURIE MICKLE, MD
Pediatrics
Active
Individual
NPI: 1194779744
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pediatrics | 208000000X | Yes | 17332 (OK) |
Frequently Asked Questions
NPI 1194779744 is the National Provider Identifier for DR. LAURIE MICKLE, MD, a Pediatrics provider located in Owasso, OK. This NPI was enumerated on May 19, 2006.
DR. LAURIE MICKLE, MD practices at 10512 N 110TH EAST AVE, SUITE 300, Owasso, OK 74055.
Quick Facts
- NPI
- 1194779744
- Type
- Individual
- Enumerated
- May 19, 2006
- Last Updated
- May 3, 2014
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