Dana K Larue

NPI #1912447558 in Crescent, Oklahoma

Provider Information

NPI Number: 1912447558
Entity Type: Individual
Name: Dana K Larue
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Mar 1, 2017
Last Updated: Mar 1, 2017

Practice Location

Address: 14685 W VAN BUREN ST
City: Crescent
State: Oklahoma
ZIP Code: 73028-8789
Phone: (405) 249-2990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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