DR. Laurie Elizabeth Mickle, MD

NPI #1194779744 in Owasso, Oklahoma

Provider Information

NPI Number: 1194779744
Entity Type: Individual
Name: DR. Laurie Elizabeth Mickle, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: May 19, 2006
Last Updated: May 3, 2014

Practice Location

Address: 10512 N 110TH EAST AVE
Address 2: SUITE 300
City: Owasso
State: Oklahoma
ZIP Code: 74055-6636
Phone: (918) 376-8901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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