LAVONNE JACOBSEN

EDMOND, OK
NPI1922265800
Former NameLAVONNE WILLENKEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: CA  NMW621)
Enumeration Date2008-05-19
Last Update Date2013-07-08
Business Address
-- LAVONNE JACOBSEN APRN, CNM
3208 AMBERWOOD CT
EDMOND, OK 73003-2133
Phone number: 405-509-4661
Mailing Address
-- LAVONNE JACOBSEN APRN, CNM
3208 AMBERWOOD CT
EDMOND, OK 73003-2133
Phone number: 405-509-4661