Provider Demographics
NPI:1316465966
Name:MCCOY, LAUREN ELYSE
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELYSE
Last Name:MCCOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7210 S YALE AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-6319
Mailing Address - Country:US
Mailing Address - Phone:918-201-3425
Mailing Address - Fax:918-310-1448
Practice Address - Street 1:7210 S YALE AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-6319
Practice Address - Country:US
Practice Address - Phone:918-201-3425
Practice Address - Fax:918-310-1448
Is Sole Proprietor?:No
Enumeration Date:2017-09-05
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK63742164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse