Healthcare Provider Details

I. General information

NPI: 1093211237
Provider Name (Legal Business Name): LAURA ELIZABETH VARNEY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2018
Last Update Date: 07/04/2024
Certification Date: 07/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6151 S YALE AVE # LEVELB
TULSA OK
74136-1907
US

IV. Provider business mailing address

6151 SOUTH YALE AVENUE LEVEL B
TULSA OK
74136-1907
US

V. Phone/Fax

Practice location:
  • Phone: 918-502-6097
  • Fax: 918-502-6046
Mailing address:
  • Phone: 918-502-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number6790
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number6790
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: