Individual
LESA ANNE LANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
63153 EAST 290 ROAD, GROVE, OK 74345
(918) 944-3442
Mailing address
30433 HIGHWAY 85, AFTON, OK 74331-8427
(918) 944-3442
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L 0053409
OK
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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