IndividualActive
Kelli Lawrence
NPI 1023742632 · Primary Care Nurse Practitioner · Porum, OK
Provider details
- NPI number
- 1023742632
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 209447 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
429728 E 1148 Rd
Porum, OK 74455-5741
Phone: (580) 618-4591
Approximate (ZIP-level) locationGet directions
Mailing address
429728 E 1148 Rd
Porum, OK 74455-5741
Registry dates
- Enumerated
- 2022-07-11
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.