# VERDIGRIS VALLEY FAMILY MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699385278
- **Authorized official:** ELIZABETH LEE PA-C (OWNER/ EMPLOYEE)
- **Authorized official phone:** (918) 269-3693

## Contact information

- **Practice address:** 25965 S HIGHWAY 66 STE B, CLAREMORE, OK 74019-2468
- **Practice address phone:** (918) 550-0989
- **Mailing address:** 25965 S HIGHWAY 66 STE B, CLAREMORE, OK 74019-2468
- **Mailing address phone:** (918) 269-3693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2020
- **Last updated:** 06/04/2024