LISA DANETTE WEST

MOORE, OK
NPI1104896760
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OK  1163)
Enumeration Date2006-01-25
Last Update Date2007-07-08
Business Address
Ms. LISA DANETTE WEST PA-C
520 S TELEPHONE RD
MOORE, OK 73160-5423
Phone number: 405-793-9355
Mailing Address
Ms. LISA DANETTE WEST PA-C
3555 NW 58TH ST SUITE 900
OKLAHOMA CITY, OK 73112-4707
Phone number: 405-917-0418
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