| Doctor Name: | LAUREL JORDAN |
| NPI Number: | 1720188493 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | 34008645 |
| Business Practice Address: | 2020 Arlington Suite 2 Ada, OK - 748202822 |
| Business Phone Number: | 5804369037 |
| Business Fax Number: | 5804369028 |
| Mailing Address: | 530 N Monte Vista St, Suite A ADA |
| State: | OK |
| Postal Code: | 748204675 |
| Phone Number: | 5804367101 |
| Fax Number: | 5804364447 |
| NPI Enumeration Date: | 09/23/2006 |
| NPI Last Update Date: | 10/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 34008645 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |