Provider Demographics
NPI:1609144351
Name:BARTON, MA'GEN LASHAE
Entity Type:Individual
Prefix:
First Name:MA'GEN
Middle Name:LASHAE
Last Name:BARTON
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 1:2642 N MERIDIAN AVE
Mailing Address - Street 2:APT # 224
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-1008
Mailing Address - Country:US
Mailing Address - Phone:405-503-8753
Mailing Address - Fax:
Practice Address - Street 1:2642 N MERIDIAN AVE
Practice Address - Street 2:APT # 224
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73107-1008
Practice Address - Country:US
Practice Address - Phone:405-503-8753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-08
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management