Individual
LAUREN IRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1004 E BRYAN AVE, SAPULPA, OK 74066-4513
(918) 224-4280
Mailing address
1705 E 19TH ST, STE 302, TULSA, OK 74104-5410
(918) 748-7585
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2769
OK
Other
Enumeration date
12/13/2016
Last updated
03/01/2023
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