Individual
LAUREN BUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3101 ARLINGTON ST, ADA, OK 74820-3085
(580) 332-9100
Mailing address
4608 JAY MATT DR, YUKON, OK 73099-2305
(405) 326-7535
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1207826
OK
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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