Provider Demographics
NPI:1366880643
Name:HIRE, LAURI
Entity type:Individual
Prefix:
First Name:LAURI
Middle Name:
Last Name:HIRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 1 BOX 75
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-9707
Mailing Address - Country:US
Mailing Address - Phone:580-656-8500
Mailing Address - Fax:
Practice Address - Street 1:811 SW 17TH ST
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73501-4832
Practice Address - Country:US
Practice Address - Phone:580-248-6470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-10
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator