Individual
LISA SUMMARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 N 8TH ST, NOBLE, OK 73068-9361
(405) 872-3452
Mailing address
3417 LYRIC ST, NORMAN, OK 73071-1546
(405) 517-6877
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
736021050
—
OK
Enumeration date
11/01/2017
Last updated
11/01/2017
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