Healthcare Provider Details

I. General information

NPI: 1497290449
Provider Name (Legal Business Name): LAUREN ASHLEIGH TOFT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2016
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 STANTON L YOUNG BLVD 1140
OKLAHOMA CITY OK
73104-5036
US

IV. Provider business mailing address

PO BOX 26901
OKLAHOMA CITY OK
73126-0901
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-4351
  • Fax: 405-271-8695
Mailing address:
  • Phone: 405-271-4351
  • Fax: 405-271-8695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2729
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: