Individual
MRS. LAUREN MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11900 NW EXPRESSWAY, YUKON, OK 73099
(405) 283-9300
(405) 283-9301
Mailing address
11900 NW EXPRESSWAY, YUKON, OK 73099
(405) 283-9300
(405) 283-9301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2332
OK
363AM0700X
Medical Physician Assistant
2332
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2332
MEDICAL LICENSE
OK
Enumeration date
01/23/2014
Last updated
11/15/2018
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