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NPI Code Detail

MEDICARE: LAUREN MUSTAIN

MEDICARE:   LAUREN  MUSTAIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1093607749
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN MUSTAIN
Provider Business Mailing Address
First Line : 2181 HUX DR
Second Line :
City : BLANCHARD
State : OK
Zip : 73010-5325
Country : US
Telephone Number : 405-434-4005
Fax Number :
Provider Business Practice Location Address
First Line : 14400 BOGERT PKWY STE 200
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73134-2659
Country : US
Telephone Number : 844-346-7366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2025
Last Update Date : 07/17/2025

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Directions to “ LAUREN MUSTAIN ” Practice Location

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