| NPI | 1033989272 |
|---|---|
| Doing Business As | LEGACY WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L LE Provider 405-615-8967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-11-18 |