Individual
LAURYN ROCHELLE JEFFCOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 S MUSTANG RD, YUKON, OK 73099-6704
(405) 324-1911
Mailing address
12616 NW 6TH ST, YUKON, OK 73099-5554
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2484
OK
Other
Enumeration date
01/15/2015
Last updated
05/14/2015
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