NPI 1316420086

Lauren Wilson, MMSPAC

Practitioner Medical Physician Assistant Bethany, OK

Practice location

Address: 6729 NW 39th Expy, Bethany, OK 73008-2605
Phone: (405) 491-8252
Mailing address: 7430 NE Hawk Drive, Piedmont, OK 73078

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 2959 (OK)

Other Physician Assistant providers in Oklahoma →

Registry record

NPI: 1316420086
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Sep 2018
Record last updated: 6 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.