Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larry Paul Bolain II

Individual provider Peer Specialist · NPI 1477390649

Larry Paul Bolain II is a Peer Specialist in Sapulpa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

11680 S 153rd West Ave
Sapulpa, OK 74066-8564
Phone: (918) 889-2310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1477390649
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 13, 2024
Last updated in NPPESJuly 13, 2024
Certification dateJuly 13, 2024

Other providers in Sapulpa