MEDICARE: MRS. LAUREN NATION MS, CCC-SLP

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	235Z00000X	Speech-Language Pathologist	4448	OK

General Provider Information

NPI Number	:	1841798113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAUREN NATION MS, CCC-SLP

Provider Business Mailing Address
First Line	:	4519 E 49TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-3221
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4201 S WALNUT CREEK DR
Second Line	:
City	:	SAND SPRINGS
State	:	OK
Zip	:	74063-2744
Country	:	US
Telephone Number	:	918-246-1560
Fax Number	:

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

Provider Enumeration Date	:	01/31/2018
Last Update Date	:	02/02/2021

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