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NPI Code Detail

MEDICARE: MRS. LAUREN JANE HIGDON MS OTRL

MEDICARE: MRS. LAUREN JANE HIGDON MS OTRL
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
1225X00000XOccupational Therapist1302OK

General Provider Information

NPI Number : 1174601181
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAUREN JANE HIGDON MS OTRL
Provider Business Mailing Address
First Line : 3030 NW EXPRESSWAY
Second Line : SUITE 809
City : OKLAHOMA CITY
State : OK
Zip : 73112-5474
Country : US
Telephone Number : 405-917-7160
Fax Number : 866-848-8814
Provider Business Practice Location Address
First Line : 3030 NW EXPRESSWAY
Second Line : SUITE 809
City : OKLAHOMA CITY
State : OK
Zip : 73112-5474
Country : US
Telephone Number : 405-917-7160
Fax Number : 866-848-8814
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 01/15/2008

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