Provider Demographics
NPI:1700837986
Name:BARWICK, LORING JR (DO)
Entity Type:Individual
Prefix:DR
First Name:LORING
Middle Name:
Last Name:BARWICK
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5519 S UTICA AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-6909
Mailing Address - Country:US
Mailing Address - Phone:918-960-1364
Mailing Address - Fax:
Practice Address - Street 1:16205 N PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-7325
Practice Address - Country:US
Practice Address - Phone:405-705-5700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-13
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA023940207Q00000X
OK3440207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1168190Medicaid
LAG54608Medicare UPIN
LA1168190Medicaid