Dr Lauri Sue Blesch, MD | |
10512 N 110th East Ave, Ste 240, Owasso, OK 74055-6636 | |
(918) 376-8901 | |
(918) 376-8929 |
Full Name | Dr Lauri Sue Blesch |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 10512 N 110th East Ave, Owasso, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306896998 | NPI | - | NPPES |
100122190C | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 17769 (Oklahoma) | Primary |
Entity Name | Ahs Oklahoma Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235182775 PECOS PAC ID: 9436122496 Enrollment ID: O20040817001197 |
Mailing Address | Practice Location Address |
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Dr Lauri Sue Blesch, MD 10512 N 110th East Ave, Suite 240, Owasso, OK 74055-6636 Ph: (918) 376-8901 | Dr Lauri Sue Blesch, MD 10512 N 110th East Ave, Ste 240, Owasso, OK 74055-6636 Ph: (918) 376-8901 |
Dr. Laurie Elizabeth Mickle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10512 N 110th East Ave, Suite 300, Owasso, OK 74055 Phone: 918-376-8901 Fax: 918-376-8939 | |
Dr. Theresa Lynn Horton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10512 N 110th East Ave, Owasso, OK 74055 Phone: 918-376-8901 Fax: 918-376-8939 | |
Mrs. Cheryl Ann Boyd, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8439 N 117th East Ave, Owasso, OK 74055 Phone: 918-272-8989 Fax: 918-272-4185 | |
Dr. Elizabeth Trigalet Bader, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 12150 E 96th St N Ste 101, Owasso, OK 74055 Phone: 918-716-5437 Fax: 539-202-5020 | |
Dr. Brian Scott Mcdowell, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12455 E 100th St N, Suite 280, Owasso, OK 74055 Phone: 918-274-9700 | |
Chelsea Ryan Walker, APRN-CPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12455 E 100th St N Ste 300, Owasso, OK 74055 Phone: 918-274-9700 Fax: 918-274-1395 |