Provider Demographics
NPI:1932696739
Name:FLOYD, LAUREN E (DO)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:E
Last Name:FLOYD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:E
Other - Last Name:KOLLMORGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:4651 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74804-1440
Mailing Address - Country:US
Mailing Address - Phone:405-395-5655
Mailing Address - Fax:
Practice Address - Street 1:4651 N HARRISON ST
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74804-1440
Practice Address - Country:US
Practice Address - Phone:405-395-5655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-17
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6688207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200866280AMedicaid