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NPI Code Detail

MEDICARE: LEXUS GREEN

MEDICARE:   LEXUS  GREEN
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
1374J00000XDoula

General Provider Information

NPI Number : 1467309609
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEXUS GREEN
Provider Business Mailing Address
First Line : 1121 KINGS CT
Second Line :
City : MOORE
State : OK
Zip : 73160-1831
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1121 KINGS CT
Second Line :
City : MOORE
State : OK
Zip : 73160-1831
Country : US
Telephone Number : 405-497-0897
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ LEXUS GREEN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.