JENNA MARIE LIGHTHIZER

TAHLEQUAH, OK
NPI1154586501
Former NameJENNA MARIE HANSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: OK  2609)
Enumeration Date2008-07-25
Last Update Date2018-05-31
Business Address
DR. JENNA MARIE LIGHTHIZER O.D.
1001 N GRAND AVE NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY
TAHLEQUAH, OK 74464
Phone number: 918-458-2109
Mailing Address
DR. JENNA MARIE LIGHTHIZER O.D.
1001 N GRAND AVE NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY
TAHLEQUAH, OK 74464-7017
Phone number: 918-458-2109
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