Provider Demographics
NPI:1396063392
Name:FISCHER, LAURA E (MD, MS)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:E
Last Name:FISCHER
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4140 W MEMORIAL RD STE 215
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-8361
Mailing Address - Country:US
Mailing Address - Phone:405-486-8188
Mailing Address - Fax:405-486-8198
Practice Address - Street 1:4140 W MEMORIAL RD STE 215
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8361
Practice Address - Country:US
Practice Address - Phone:405-486-8188
Practice Address - Fax:405-486-8198
Is Sole Proprietor?:No
Enumeration Date:2010-05-14
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK32527208600000X
ORMD171368208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery