NPI | 1295911667 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN E LEWIS President/Owner 405-321-0406 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 13223) |
Enumeration Date | 2008-01-16 |
Last Update Date | 2012-01-24 |