Individual
LAUREN BOYDSTUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11100 HEFNER POINTE DR STE B, OKLAHOMA CITY, OK 73120-5049
(405) 608-6877
(405) 608-6899
Mailing address
PO BOX 5366, EDMOND, OK 73083-5366
(405) 608-6877
(405) 608-6899
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2329
OK
Other
Enumeration date
03/10/2014
Last updated
12/23/2014
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