| Doctor Name: | LAURYN ROCHELLE JEFFCOAT |
| NPI Number: | 1033508825 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 2484 |
| Business Practice Address: | 301 S Mustang Rd Yukon, OK - 730996704 |
| Business Phone Number: | 4053241911 |
| Business Fax Number: | |
| Mailing Address: | 12616 Nw 6th St, YUKON |
| State: | OK |
| Postal Code: | 730995554 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/15/2015 |
| NPI Last Update Date: | 05/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 2484 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |