Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Holly Renee Lavender, PA-C

Individual provider Physician Assistant · NPI 1184197899

Holly Renee Lavender, PA-C is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2018, 8 years ago. Practices with Warren Clinic Inc, a 772-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
8
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone: (918) 392-4685
Fax: (918) 392-4693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 10505 E 91st St Ste 208, Tulsa, OK 74133-5829 — (918) 494-8500
  • 6151 S Yale Ave Ste 100a, Tulsa, OK 74136-1929 — (918) 494-8500
  • 6151 S Yale Ave Ste 1304, Tulsa, OK 74136-1907 — (918) 494-8500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1184197899
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 4, 2019
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Warren Clinic Inc — 772 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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