Lara Duke, is a
Psychologist - Clinical based in Sapulpa, Oklahoma. Lara Duke is licensed to practice in Oklahoma (license number 1075) and her current practice location is
610 S Hiawatha St, Sapulpa, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 248-5026.
NPI number for Lara Duke is 1124369012 and her current mailing address is 610 S Hiawatha St, Sapulpa, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124369012.
Healthcare Provider's Profile
| Full Name | Lara Duke |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 610 S Hiawatha St, Sapulpa, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1124369012
- Provider Enumeration Date: 03/03/2013
- Last Update Date: 03/03/2013
Medical Identifiers
Medical identifiers for Lara Duke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124369012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 1075 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lara Duke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lara Duke,
610 S Hiawatha St,
Sapulpa, OK 74066-4650
Ph: () - | Lara Duke,
610 S Hiawatha St,
Sapulpa, OK 74066-4650
Ph: (918) 248-5026 |
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