Provider Demographics
NPI:1083353031
Name:TURNER, LAUREN
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:GOMEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 523
Mailing Address - Street 2:
Mailing Address - City:WAUKOMIS
Mailing Address - State:OK
Mailing Address - Zip Code:73773-0523
Mailing Address - Country:US
Mailing Address - Phone:580-334-3498
Mailing Address - Fax:
Practice Address - Street 1:406 CHISHOLM CIR
Practice Address - Street 2:
Practice Address - City:WAUKOMIS
Practice Address - State:OK
Practice Address - Zip Code:73773-9523
Practice Address - Country:US
Practice Address - Phone:580-334-3498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-28
Last Update Date:2022-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator