Individual
LAUREN JENNETTE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1111 S SAINT LOUIS AVE, TULSA, OK 74120-5440
(918) 619-4600
Mailing address
1111 S SAINT LOUIS AVE, TULSA, OK 74120-5440
(918) 619-4600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6219
OK
Other
Enumeration date
04/28/2016
Last updated
09/15/2019
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