Individual
LAUREN KIMBERLY CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4444 E 41ST ST, TULSA, OK 74135-2527
(918) 619-4400
(918) 619-4322
Mailing address
2021 E CONCORD ST, BROKEN ARROW, OK 74012-9637
(918) 636-9390
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5199
OK
2080C0008X
Child Abuse Pediatrics Physician
Primary
5199
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200462570A
—
OK
Enumeration date
04/14/2011
Last updated
12/10/2020
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