| NPI | 1205670957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENA LAMONS Owner 918-457-9141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-10-10 |