IAONG LOR

COWETA, OK
NPI1548097173
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  224002)
Enumeration Date2024-09-17
Last Update Date2025-09-19
Business Address
IAONG LOR NP
607 S BROADWAY
COWETA, OK 74429-5000
Phone number: 918-486-5564
Mailing Address
IAONG LOR NP
607 S BROADWAY
COWETA, OK 74429-5000
Phone number: 918-486-5564