Provider Demographics
NPI:1790249688
Name:KLAHR, LAVON L (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LAVON
Middle Name:L
Last Name:KLAHR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 ADAMS RD
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-1023
Mailing Address - Country:US
Mailing Address - Phone:877-247-7868
Mailing Address - Fax:405-928-2720
Practice Address - Street 1:2910 ADAMS RD
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-1023
Practice Address - Country:US
Practice Address - Phone:877-247-7868
Practice Address - Fax:405-928-2720
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-25
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK50436363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily