Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lara E Green, PA-C

Individual provider Surgical Physician Assistant · NPI 1558339184

Lara E Green, PA-C is a Physician Assistant in Norman, Oklahoma. Qualified in 2002, 24 years ago. Accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
24
Licensed in
OK
In the registry since
2006
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

2821 36th Ave NW Ste 105
Norman, OK 73072-2471
Phone: (405) 515-2049
Fax: (405) 307-5631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1235 (OK)

Record details

NPI number1558339184
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESJuly 28, 2021
Certification dateJuly 28, 2021
Mailing addressPo Box 1330, Norman, OK 73070-1330

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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