Provider Demographics
NPI:1700123916
Name:HOLSEY, LAURA JANE (DO)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:JANE
Last Name:HOLSEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10809 NW 36TH TERRACE
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099
Mailing Address - Country:US
Mailing Address - Phone:405-256-2526
Mailing Address - Fax:888-241-5833
Practice Address - Street 1:3543 WEST MEMORIAL ROAD
Practice Address - Street 2:HOLSEY COSMETIC SURGERY & SPA
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134
Practice Address - Country:US
Practice Address - Phone:405-256-2526
Practice Address - Fax:888-241-5833
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN02004104B208600000X
OK5397208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery