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NPI Code Detail

MEDICARE: LAUREN GARDER LPC LLC

MEDICARE: LAUREN GARDER LPC LLC
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
1101Y00000XCounselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
106254OTHEROKLICENSE

General Provider Information

NPI Number : 1194422865
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAUREN GARDER LPC LLC
Provider Business Mailing Address
First Line : 5201 NW 126TH CT
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73142-5186
Country : US
Telephone Number : 405-548-5746
Fax Number :
Provider Business Practice Location Address
First Line : 11901 N MACARTHUR BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73162-1806
Country : US
Telephone Number : 405-548-5746
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LAUREN GARDER
Credential : LPC
Telephone Number : 405-548-5746
Provider Enumeration Date : 02/13/2023
Last Update Date : 02/13/2023

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Directions to “LAUREN GARDER LPC LLC ” Practice Location

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