Individual
LAUREN LASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 664-4224
Mailing address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 664-4224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
457
OK
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
28080
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28080
RN
OK
01
—
457
LADC
OK
Enumeration date
10/16/2019
Last updated
10/16/2019
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