Individual
JENNIFER DIANE LAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10106 S SHERIDAN RD STE B, TULSA, OK 74133-6776
(918) 619-9400
Mailing address
10106 S SHERIDAN RD STE B, TULSA, OK 74133-6776
(918) 619-9400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2377
OK
Other
Enumeration date
02/13/2014
Last updated
04/21/2025
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