Individual provider Active NPI

Lawren A Merideth, M D

  • Psychiatry Physician
  • Norman, OK
National Provider Identifier
1356432637
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
22464 Issued in OK
Practice address
3280 Marshall Ave
Norman, OK 73072-8022
Phone
(405) 579-5858
Fax
(405) 292-1787
NPI assigned
Sep 28, 2006
Last updated
Jun 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 22464 OK Primary

Addresses

Primary practice location

3280 Marshall Ave
Norman, OK 73072-8022

Mailing address

3280 Marshall Ave
Norman, OK 73072-8022
Phone (405) 579-5858

Other names 1

  • Dr. Lawren A Douglas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040724000392 OK Practitioner - Psychiatry 4981684321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Oklahoma College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Medical Services, LLCGroup PAC ID 6204730856, 25 clinicians

Practice addresses (Care Compare)

2530 S Commerce St
BLDG B
Ardmore, OK 73401-5519
Phone (580) 223-5636

508 Man O War CT
Edmond, OK 73025-9512
Phone (405) 623-0509

P O Box
Suite 189
Ardmore, OK 73402-0189

PO Box
Suite 189
Ardmore, OK 73402-0189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22464OKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Medical Services, L.L.C. Psychiatry CurrentSince Jun 1, 2016 Accepting new patients
Lighthouse Behavioral Wellness Centers Current Accepting new patients
Lighthouse Behavioral Wellness Centers CurrentSince May 12, 2005 Accepting new patients

Locations

2530 S Commerce St
Bldg B
Ardmore, OK 73401
Phone (580) 223-5509

448 36th Ave NW
Ste 101
Norman, OK 73072
Phone (405) 623-1624

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1356432637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 MARSHALL AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730728022",
            "telephone_number": "405-579-5858",
            "fax_number": "405-292-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 MARSHALL AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730728022",
            "telephone_number": "405-579-5858",
            "fax_number": "405-292-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIDETH",
        "first_name": "LAWREN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "22464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAWREN",
            "last_name": "DOUGLAS",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "M D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.