Provider Demographics
NPI:1730103185
Name:LAUINGER, PHYLLIS WHITE (MD)
Entity Type:Individual
Prefix:DR
First Name:PHYLLIS
Middle Name:WHITE
Last Name:LAUINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1923 E 47TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-4916
Mailing Address - Country:US
Mailing Address - Phone:918-749-2600
Mailing Address - Fax:918-749-6106
Practice Address - Street 1:2448 E ADMIRAL BLVD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74110-5323
Practice Address - Country:US
Practice Address - Phone:918-583-7233
Practice Address - Fax:918-583-7205
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10119208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice