Provider Demographics
NPI:1114922150
Name:RANKIN, LAURA ISAACS (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ISAACS
Last Name:RANKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:ANN
Other - Last Name:ISAACS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3366 NW EXPRESSWAY
Mailing Address - Street 2:STE 550
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4489
Mailing Address - Country:US
Mailing Address - Phone:405-942-5442
Mailing Address - Fax:405-942-6448
Practice Address - Street 1:3366 NW EXPRESSWAY
Practice Address - Street 2:STE 550
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4489
Practice Address - Country:US
Practice Address - Phone:405-942-5442
Practice Address - Fax:405-942-6448
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12786207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKE11695Medicare UPIN