Provider Demographics
NPI:1427820794
Name:MARSH, LAUREL ASHLAND
Entity type:Individual
Prefix:
First Name:LAUREL
Middle Name:ASHLAND
Last Name:MARSH
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 1:3900 OLD FOREST LN
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73131-1515
Mailing Address - Country:US
Mailing Address - Phone:405-615-3308
Mailing Address - Fax:
Practice Address - Street 1:3900 OLD FOREST LN
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73131-1515
Practice Address - Country:US
Practice Address - Phone:405-615-3308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program