Southward, Lauren Brooks
Southward, Lauren Brooks is an individual health care provider with primary practice located at 1111 Walnut Dr , Ardmore OK 73401-2354. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Southward, Lauren Brooks can be contacted via phone (580) 223-9008.Contact Information
Primary practice address
1111 Walnut Dr
Ardmore OK 73401-2354
Phone: (580) 223-9008
Fax: (580) 223-9114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21988 | Oklahoma |
Profile Details
| NPI number | 1780667378 |
|---|---|
| LBN Legal business name | Southward, Lauren Brooks |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Mar 4th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780667378 | NPPES |
| Oklahoma | MEDICAID | 100850310B |
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