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Jeffrey Renner

NPI 1942650114 · on the registry since 2016 · sole proprietor

Practice

Address
15128 Traditions Blvd
Edmond, OK 73013
Phone
(405) 808-5178
Organisation at this address
Lotus Pediatric Therapy Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma