Individual
LAUREN FAITH ACKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 CHILDRENS AVE STE 10000, OKLAHOMA CITY, OK 73104-4637
(405) 271-4412
(405) 271-3265
Mailing address
1200 CHILDRENS AVE STE 14500, OKLAHOMA CITY, OK 73104-4637
(405) 271-5311
(405) 271-3767
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2192
OK
Other
Enumeration date
02/28/2013
Last updated
06/03/2013
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