Lauren Brooks Southward in Ardmore - Family Medicine
Lauren Brooks Southward - NPI 1780667378
Lauren Brooks Southward is a Family Medicine in Ardmore, Oklahoma. Lauren Brooks Southward practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lauren Brooks Southward is 1780667378. The last update date is 2021-03-04.
Lauren Brooks Southward's current location address is 1111 Walnut Dr, Ardmore, Oklahoma. You can contact this provider via phone number 5802239008 and fax number 5802235051. The mailing address for Lauren Brooks Southward is 1111 Walnut Dr, Ardmore, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lauren Brooks Southward |
|---|---|
| Address | 1111 Walnut Dr, Ardmore, Oklahoma |
| Phone Number | 5802239008 |
| Fax Number | 5802235051 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1780667378 |
|---|---|
| Provider Enumeration Date | 2005-11-28 |
| Last Updated Date | 2021-03-04 |
Provider Mailing Address Detail
| Address | 1111 Walnut Dr |
|---|---|
| City | Ardmore |
| State | Oklahoma (OK) |
| Post Code | 734012354 |
| Phone Number | 5802239008 |
| Fax Number | 5802235051 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 21988 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100850310B | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lauren Brooks Southward by the Centers for Medicare & Medicaid Services?
The Lauren Brooks Southward has been assigned the NPI (National Provider Identifier) 1780667378 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Lauren Brooks Southward's physical address?
The Lauren Brooks Southward is physically located at 1111 Walnut Dr, in the city of Ardmore, OK, with the postal code 734012354.
What is the Lauren Brooks Southward's specialty and taxonomy code?
The Lauren Brooks Southward's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780667378 to Lauren Brooks Southward?
The Centers for Medicare & Medicaid Services assigned the 1780667378 to Lauren Brooks Southward on 2005-11-28.
As of what date were the Lauren Brooks Southward's details last updated?
The information pertaining to the Lauren Brooks Southward, including its address, specialty, and other details, was most recently updated on 2021-03-04.