Individual
LAUREN CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 664-4224
Mailing address
511 W 147TH ST S, GLENPOOL, OK 74033-4385
(918) 927-2058
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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