Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 6379 | OK |
NPI | 1255863395 |
---|---|
Provider Name | Dr. Lauren Deanna Chinnery |
First Address | Tulsa, OK 74127-9005 |
Second Address | Tulsa, OK 74127-9023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2017 |
Last Update Date | 26/01/2022 |