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1376690271
LARA THEOBALD
OKLAHOMA CITY, OK
NPI
1376690271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine Hematology & Oncology
(Licence: OK 22010)
Enumeration Date
2007-01-04
Last Update Date
2017-06-27
Business Address
LARA THEOBALD MD
5915 W MEMORIAL RD SUITE 200
OKLAHOMA CITY, OK 73142-2021
Phone number: 405-773-6400
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Mailing Address
LARA THEOBALD MD
5300 N INDEPENDENCE AVE SUITE 280
OKLAHOMA CITY, OK 73112-5556
Phone number: 405-773-6400
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