Provider Demographics
NPI:1992707947
Name:LAPLANTE REHAB
Entity type:Organization
Organization Name:LAPLANTE REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SALYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-835-9827
Mailing Address - Street 1:2174 S SHERIDAN RD
Mailing Address - Street 2:STE B
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74129-1002
Mailing Address - Country:US
Mailing Address - Phone:918-835-9827
Mailing Address - Fax:918-835-3171
Practice Address - Street 1:2174 S SHERIDAN RD
Practice Address - Street 2:STE B
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74129-1002
Practice Address - Country:US
Practice Address - Phone:918-835-9827
Practice Address - Fax:918-835-3171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-02
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100851460AMedicaid
OK=========001OtherBLUE CROSS PROVIDER NUMBE
OK4427920001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER