Individual
LECIA FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 WASHITA AVE, MOUNTAIN VIEW, OK 73062
(580) 819-3551
Mailing address
1001 WASHITA AVE, MOUNTAIN VIEW, OK 73062
(580) 819-3551
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
851
OK
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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