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NPI Code Detail

MEDICARE: MS. DARLA SUE LAWRENCE M.S.CFY-SLP

MEDICARE: MS. DARLA SUE LAWRENCE M.S.CFY-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistCFYOK

General Provider Information

NPI Number : 1144435769
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DARLA SUE LAWRENCE M.S.CFY-SLP
Provider Business Mailing Address
First Line : 1114 N GARFIELD AVE
Second Line :
City : SAND SPRINGS
State : OK
Zip : 74063-7321
Country : US
Telephone Number : 918-249-9649
Fax Number :
Provider Business Practice Location Address
First Line : 4300 W HOUSTON ST
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74012-4519
Country : US
Telephone Number : 918-249-9649
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 07/08/2007

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Directions to “ MS. DARLA SUE LAWRENCE M.S.CFY-SLP” Practice Location

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