Individual
DR. LISA MYKELAN HAYES
Active
Individual
DR. LISA MYKELAN HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4521
OK
2085R0202X
Diagnostic Radiology Physician
C7-0003018
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200281630A
—
OK
01
—
P00849943
RAILROAD MEDICARE
—
Enumeration date
03/12/2007
Last updated
08/06/2024
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