Individual
LAUREN B QUICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1520 SW 1ST ST, WAGONER, OK 74467-4839
(918) 727-2790
Mailing address
1520 SW 1ST ST, WAGONER, OK 74467-4839
(918) 727-2790
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4533
OK
Other
Enumeration date
09/27/2019
Last updated
02/22/2021
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