Individual
LAUREN MCKENZIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6521 SE 29TH ST, OKLAHOMA CITY, OK 73110-3001
(405) 737-7547
Mailing address
6204 SE 79TH ST, OKLAHOMA CITY, OK 73135-7006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18088
OK
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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