Individual
EMMA LAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHCM II
Contact information
Practice address
901 S BRYANT AVE, EDMOND, OK 73034-5764
(405) 858-1730
(405) 858-1730
Mailing address
PO BOX 12978, OKLAHOMA CITY, OK 73157-2978
(405) 858-1730
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
320721
OK
Other
Enumeration date
12/17/2024
Last updated
04/17/2025
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