| NPI | 1578793774 |
|---|---|
| Other Name | LEAVENS CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROY L IKNER CEO 580-225-2511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OK 2210) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2010-03-01 |