Individual
LAUREN RUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4107 N COUNCIL RD STE C1&C2, BETHANY, OK 73008-3131
(405) 630-4263
Mailing address
4808 SW 129TH ST, OKLAHOMA CITY, OK 73173-8917
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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