Provider Demographics
NPI:1609034818
Name:EXINIA, LAUREN JEAN ELIZABETH
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:JEAN ELIZABETH
Last Name:EXINIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4720 RICHMOND SQ
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-2061
Mailing Address - Country:US
Mailing Address - Phone:480-647-2443
Mailing Address - Fax:
Practice Address - Street 1:4720 RICHMOND SQ
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-2061
Practice Address - Country:US
Practice Address - Phone:480-647-2443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-26
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health