LACEE J SHADE

MUSKOGEE, OK
NPI1114816527
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: RI  R0132345)
Enumeration Date2025-07-01
Last Update Date2025-07-01
Business Address
LACEE J SHADE RN
1101 HONOR HEIGHTS DR
MUSKOGEE, OK 74401-1302
Phone number: 918-813-4485
Mailing Address
LACEE J SHADE RN
309 N ELM PL
OWASSO, OK 74055-2821
Phone number: 918-813-4485