Provider Demographics
NPI:1386056901
Name:KLAUS, LAUREN ELAINE (DDS)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ELAINE
Last Name:KLAUS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 WESTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-1307
Mailing Address - Country:US
Mailing Address - Phone:405-820-7774
Mailing Address - Fax:
Practice Address - Street 1:1505 WESTCHESTER DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-1307
Practice Address - Country:US
Practice Address - Phone:405-820-7774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-02
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6579122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist