Provider Demographics
NPI:1689319915
Name:GIDDENS, LAUREN ANN (DPM)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ANN
Last Name:GIDDENS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6750 BOND DR
Mailing Address - Street 2:
Mailing Address - City:MOUNDS
Mailing Address - State:OK
Mailing Address - Zip Code:74047-5453
Mailing Address - Country:US
Mailing Address - Phone:609-289-7629
Mailing Address - Fax:
Practice Address - Street 1:2488 E 81ST ST STE 2000
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-4224
Practice Address - Country:US
Practice Address - Phone:918-592-9020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-02
Last Update Date:2025-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK392213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist