LACY NICOLE CRISSUP

CLAREMORE, OK
NPI1851521819
Former NameLACY NICOLE SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: OK  2600)
Enumeration Date2009-07-23
Last Update Date2009-07-23
Business Address
Dr. LACY NICOLE CRISSUP O.D.
212 E BLUE STARR DR
CLAREMORE, OK 74017-4223
Phone number: 918-341-8211
Mailing Address
Dr. LACY NICOLE CRISSUP O.D.
212 E BLUE STARR DR
CLAREMORE, OK 74017-4223
Phone number: 918-341-8211
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