Individual
LAUREN BRENTLEE MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
620 E OKMULGEE ST, MUSKOGEE, OK 74403-5528
(918) 682-1433
Mailing address
620 E OKMULGEE ST, MUSKOGEE, OK 74403-5528
(918) 682-1433
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206128
OK
Other
Enumeration date
12/05/2021
Last updated
12/05/2021
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