LAUREN T SPIVA

PONCA CITY, OK
NPI1477141398
Former NameLAUREN T DIAL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OK  R0126926)
Enumeration Date2021-01-06
Last Update Date2021-01-06
Business Address
LAUREN T SPIVA
2225 N UNION ST
PONCA CITY, OK 74601-1555
Phone number: 580-308-5792
Mailing Address
LAUREN T SPIVA
2225 N UNION ST
PONCA CITY, OK 74601-1555
Phone number: 580-308-5792