Gregory, Karen Lavon

Gregory, Karen Lavon is an sole proprietor health care provider with primary practice located at 750 Ne 13Th Street , Oklahoma City OK 73104-5051. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Gregory, Karen Lavon can be contacted via phone (405) 235-0040.

Contact Information

Primary practice address
750 Ne 13Th Street Oklahoma City OK 73104-5051
Phone: (405) 235-0040
Fax: (405) 235-4495
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R71506 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R0071506 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X 725403 Texas

Profile Details

NPI number 1033218896
LBN Legal business name Gregory, Karen Lavon
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jan 12th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033218896 NPPES
Oklahoma MEDICAID 200113920A

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