MEDICARE: LAUREN GARABELLI M.D.

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
1	208000000X	Pediatrics Physician	27548	OK
2	208000000X	Pediatrics Physician	N0777	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487883633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN GARABELLI M.D.

Provider Business Mailing Address
First Line	:	12038 N MAY AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-6807
Country	:	US
Telephone Number	:	405-724-5437
Fax Number	:	405-724-6917

Provider Business Practice Location Address
First Line	:	12038 N MAY AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-6807
Country	:	US
Telephone Number	:	405-724-5437
Fax Number	:	405-724-6917

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2009
Last Update Date	:	05/13/2026

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