Individual
LAUREN NICOLE WILLEMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1265 S UTICA AVE STE 300, TULSA, OK 74104-4243
(918) 592-0999
(918) 592-1021
Mailing address
9228 S MINGO RD STE 200, TULSA, OK 74133-5722
(918) 592-0999
(918) 592-1021
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
107076
OK
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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