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NPI Code Detail

MEDICARE: NAIOMY NICOLE LAO-PEREZ

MEDICARE: NAIOMY NICOLE LAO-PEREZ
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
1172V00000XCommunity Health WorkerOK

General Provider Information

NPI Number : 1538003561
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAIOMY NICOLE LAO-PEREZ
Provider Business Mailing Address
First Line : 2057 W LINDSEY ST APT E
Second Line :
City : NORMAN
State : OK
Zip : 73069-4149
Country : US
Telephone Number : 939-258-6028
Fax Number :
Provider Business Practice Location Address
First Line : 420 SW 10TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-5610
Country : US
Telephone Number : 405-236-0701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2026
Last Update Date : 04/18/2026

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Directions to “ NAIOMY NICOLE LAO-PEREZ ” Practice Location

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