Individual
MRS. LAUREN GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6465 S YALE AVE STE 401, TULSA, OK 74136-7806
(918) 582-3154
Mailing address
4329 E 56TH PL, TULSA, OK 74135-4235
(918) 694-8774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5462
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5462
OK LICENSE
OK
Enumeration date
08/16/2022
Last updated
02/13/2025
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