| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NIKKI LAUREN IGO | 1134703861 | 2022-07-20 |
Nikki Lauren Igo is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1134703861. Registration indicates Nikki Lauren Igo is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Dr. Nikki Lauren Igo DO |
| Practice Office Address | 5310 E 31ST ST STE LL TULSA, OK US |
| Practice Office Telephone | 9185611232 |
| Mailing Address | 5310 E 31ST ST STE LL TULSA, OK 741355018 US |
| work email [] | [email protected] | Health Information Exchange (HIE) |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |
| 39020 | OTHER | OK | OSUCOM |