Healthcare Provider Details

I. General information

NPI: 1144025164
Provider Name (Legal Business Name): LAURIE L HUFF CPHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2025
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 STANTON L YOUNG BLVD STE 430
OKLAHOMA CITY OK
73104-5022
US

IV. Provider business mailing address

711 STANTON L YOUNG BLVD STE 430
OKLAHOMA CITY OK
73104-5022
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-6434
  • Fax: 405-271-6264
Mailing address:
  • Phone: 405-271-6434
  • Fax: 405-271-6264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number10973
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: