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NPI Code Detail

MEDICARE: LAUREN ANN GIDDENS DPM

MEDICARE: LAUREN ANN GIDDENS DPM
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
1213E00000XPodiatrist392OK

General Provider Information

NPI Number : 1689319915
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ANN GIDDENS DPM
Provider Business Mailing Address
First Line : 12939 E 116TH ST N
Second Line :
City : COLLINSVILLE
State : OK
Zip : 74021-5278
Country : US
Telephone Number : 918-592-9020
Fax Number :
Provider Business Practice Location Address
First Line : 2488 E 81ST ST STE 2000
Second Line :
City : TULSA
State : OK
Zip : 74137-4224
Country : US
Telephone Number : 918-592-9020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2022
Last Update Date : 12/09/2025

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Directions to “ LAUREN ANN GIDDENS DPM” Practice Location

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