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NPI Code Detail

MEDICARE: MRS. LAURA ELIZABETH FITE LPC CSAC

MEDICARE: MRS. LAURA ELIZABETH FITE LPC CSAC
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
1101YP2500XProfessional Counselor0701003570VA
2101YP2500XProfessional Counselor4080OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174620801
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA ELIZABETH FITE LPC CSAC
Provider Business Mailing Address
First Line : 7145 S BRADEN AVE
Second Line :
City : TULSA
State : OK
Zip : 74136-6302
Country : US
Telephone Number : 918-496-6987
Fax Number : 918-497-1206
Provider Business Practice Location Address
First Line : 7145 S BRADEN AVE
Second Line :
City : TULSA
State : OK
Zip : 74136-6302
Country : US
Telephone Number : 918-496-6987
Fax Number : 918-497-1206
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2006
Last Update Date : 03/09/2009

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