Individual provider · Type 1 NPI

Lauren Little Axe, PA

Medical Physician Assistant · Ada, OK

NPI number 1023587649 Active

Practice location

1921 Stonecipher Dr
Ada, OK 74820-3439

Fax (580) 421-4552

Mailing address

12508 Whispering Hollow Dr
Oklahoma City, OK 73142-2559

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2966 (OK)

Medical Physician Assistant: Definition to come...

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About NPI 1023587649

Lauren Little Axe, PA's National Provider Identifier is 1023587649, issued on Nov 14, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ada, OK. The record was last updated on Nov 14, 2018.