Healthcare Provider Details

I. General information

NPI: 1528502374
Provider Name (Legal Business Name): LAURA KATHRYN CLAYMAN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA KATHRYN HOLMAN PA

II. Dates (important events)

Enumeration Date: 12/13/2016
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3980 W TECUMSEH RD
NORMAN OK
73072
US

IV. Provider business mailing address

3980 W TECUMSEH RD
NORMAN OK
73072
US

V. Phone/Fax

Practice location:
  • Phone: 405-360-9966
  • Fax: 405-360-9905
Mailing address:
  • Phone: 405-360-9966
  • Fax: 405-360-9905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2726
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: