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NPI Code Detail

MEDICARE: LOLA JANE EDWARDS RN

MEDICARE:   LOLA JANE EDWARDS  RN
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
1163W00000XRegistered NurseR0044395OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1R0044395OTHEROKRN LICENSE

General Provider Information

NPI Number : 1881459311
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOLA JANE EDWARDS RN
Provider Business Mailing Address
First Line : 9005 S HUDSON AVE
Second Line :
City : TULSA
State : OK
Zip : 74137-3576
Country : US
Telephone Number : 918-360-7014
Fax Number : 866-310-4081
Provider Business Practice Location Address
First Line : 5705 E 71ST ST STE 250
Second Line :
City : TULSA
State : OK
Zip : 74136-6680
Country : US
Telephone Number : 918-477-9080
Fax Number : 918-948-7735
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2024
Last Update Date : 05/20/2026

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Directions to “ LOLA JANE EDWARDS RN” Practice Location

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