Search › Oklahoma › 163W00000X
Larry Church
NPI 1285501783 · on the registry since 2025
Practice
- Address
- 57523 Moccasin Trail Rd
Prague, OK 74864 - Phone
- (405) 567-0054
- Fax
- (405) 567-0055
- Organisation at this address
- Land Of Hope
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma