Individual
MRS. LAUREN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
6729 NW 39TH EXPY, BETHANY, OK 73008-2605
(405) 491-8252
Mailing address
7430 NE HAWK DRIVE, PIEDMONT, OK 73078
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2959
OK
Other
Enumeration date
09/10/2018
Last updated
08/06/2025
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