Organization
LEGACY WELLNESS
Active
Other names
LEGACY WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L LE APRN-CNP (PROVIDER)
(405) 615-8967
Entity
Organization
Contact information
Practice address
927 SW D AVE, LAWTON, OK 73501-4530
(405) 936-0504
(405) 936-0561
Mailing address
PO BOX 57390, OKLAHOMA CITY, OK 73157-7390
(405) 506-9101
(405) 936-0561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
11/18/2024
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