Provider Demographics
NPI:1942755186
Name:FRANKLIN, LAROYIA
Entity Type:Individual
Prefix:
First Name:LAROYIA
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6156 S MADISON PL
Mailing Address - Street 2:APT A
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-1334
Mailing Address - Country:US
Mailing Address - Phone:918-510-7992
Mailing Address - Fax:
Practice Address - Street 1:6156 S MADISON PL
Practice Address - Street 2:APT A
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1334
Practice Address - Country:US
Practice Address - Phone:918-510-7992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator