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NPI Code Detail

MEDICARE: MS. LAUREN E LANGLEY

MEDICARE: MS. LAUREN E LANGLEY
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
1101YM0800XMental Health Counselor
2251B00000XCase Management Agency
3251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1366799819
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAUREN E LANGLEY
Provider Business Mailing Address
First Line : 2828 NW 57TH ST
Second Line : SUITE 302
City : OKLAHOMA CITY
State : OK
Zip : 73112-6814
Country : US
Telephone Number : 405-840-1253
Fax Number : 405-840-1211
Provider Business Practice Location Address
First Line : 2828 NW 57TH ST
Second Line : SUITE 302
City : OKLAHOMA CITY
State : OK
Zip : 73112-6814
Country : US
Telephone Number : 405-840-1253
Fax Number : 405-840-1211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2012
Last Update Date : 08/14/2012

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Directions to “ MS. LAUREN E LANGLEY ” Practice Location

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