Individual
JASON LAUDERDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
908 CHARTRAND CT, EDMOND, OK 73034-5538
(405) 408-2780
(405) 408-2780
Mailing address
908 CHARTRAND CT, EDMOND, OK 73034-5538
(405) 408-2780
(405) 408-2780
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
BP10089921
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
06/01/2021
Last updated
06/26/2026
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