Provider Demographics
NPI:1619945680
Name:ARTHUR, LAURA (DC)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:L.
Other - Middle Name:KAY
Other - Last Name:ARTHUR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:3320 HIGHWAY 75
Mailing Address - Street 2:
Mailing Address - City:HOLDENVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74848-6234
Mailing Address - Country:US
Mailing Address - Phone:405-379-3888
Mailing Address - Fax:405-379-8030
Practice Address - Street 1:3320 HIGHWAY 75
Practice Address - Street 2:
Practice Address - City:HOLDENVILLE
Practice Address - State:OK
Practice Address - Zip Code:74848-6234
Practice Address - Country:US
Practice Address - Phone:405-379-3888
Practice Address - Fax:405-379-8030
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3394111N00000X
TX6040111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK752462447OtherFEDERAL TAX ID
OK752462447OtherFEDERAL TAX ID