Individual
LAUREN GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
428 S MUSTANG RD, YUKON, OK 73099-6754
(405) 577-5477
Mailing address
207 N RICHLAND RD, TUTTLE, OK 73089-9155
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
119865
OK
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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