Provider Demographics
NPI:1184512519
Name:MIND INSPIRING PHYSICAN GROUP, LLC
Entity type:Organization
Organization Name:MIND INSPIRING PHYSICAN GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LAFROMBOISE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-500-2790
Mailing Address - Street 1:8336 S LEWIS AVE APT 605
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-1525
Mailing Address - Country:US
Mailing Address - Phone:918-500-2790
Mailing Address - Fax:918-500-2790
Practice Address - Street 1:28622 E 141ST ST S
Practice Address - Street 2:
Practice Address - City:COWETA
Practice Address - State:OK
Practice Address - Zip Code:74429-7515
Practice Address - Country:US
Practice Address - Phone:918-221-3363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty