person
Lara E Green, PA-C
Surgical Physician Assistant in Norman, Oklahoma
NPI 1558339184

Lara E Green is a Surgical Physician Assistant based in Norman, OK and is specialized in Surgical. Lara E Green practices in Norman, OK and has the professional credentials of PA-C. The NPI Number for Lara E Green is 1558339184 and holds a License No. 1235 (Oklahoma).

The current practice location address for Lara E Green is 2821 36Th Ave Nw Ste 105, Norman, OK and can be reached out via phone at 405-515-2049 and via fax at 405-307-5631. You can also correspond with Lara E Green through the mailing address at PO BOX 1330, NORMAN, OK - 73070-1330 (mailing address contact number: 405-307-6668).

Location: 2821 36Th Ave Nw Ste 105, Norman, OK, 73070-1330
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Provider Profile Details
NPI Number
1558339184
Provider Name
Lara E Green
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2821 36Th Ave Nw Ste 105, Norman, OK, 73070-1330
Phone Number
405-515-2049
Fax Number
405-307-5631
Provider Enumeration Date
03/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200063470A 05 OK
institution
Provider Business Practice Location Address Details
Address
2821 36Th Ave Nw Ste 105
City
State
Zip
73072-2471
Phone Number
405-515-2049
Fax Number
405-307-5631
person
Provider Business Mailing Address Details
Address
Po Box 1330
City
State
Zip
73070-1330
Phone Number
405-307-6668
Fax Number
405-701-6170
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1235 (Oklahoma)
Definition
Definition to come...
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