Provider Demographics
NPI:1962514455
Name:STEARMAN, LAURA DIANE (MD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:DIANE
Last Name:STEARMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5300 N INDEPENDENCE AVE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5556
Mailing Address - Country:US
Mailing Address - Phone:405-657-3825
Mailing Address - Fax:405-657-3824
Practice Address - Street 1:4833 INTEGRIS PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-8864
Practice Address - Country:US
Practice Address - Phone:405-657-3825
Practice Address - Fax:405-657-3824
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2018-02-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK26343208800000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200201080AMedicaid
OKOK400998Medicare PIN