Individual
LAUREN WILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 RENAISSANCE BLVD FL 2, EDMOND, OK 73013-3023
(405) 359-2472
Mailing address
1800 RENAISSANCE BLVD FL 2, EDMOND, OK 73013-3023
(405) 359-2472
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255A2300X
ATHLETIC TRAINER
OK
Enumeration date
06/26/2008
Last updated
06/26/2008
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