LISA MOON

OKLAHOMA CITY, OK
NPI1801157532
Former NameLISA MANNEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: OK  29270)
Enumeration Date2012-05-29
Last Update Date2016-04-28
Business Address
-- LISA MOON MD
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104-5036
Phone number: 405-271-8470
Mailing Address
-- LISA MOON MD
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104-5036
Phone number: 405-271-8470
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