Individual
CHRISITNA NICOLE LASATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7477 E 46TH PL, TULSA, OK 74145-6305
(918) 384-0002
(918) 384-0004
Mailing address
726 S MAPLEWOOD AVE, TULSA, OK 74112-3132
(918) 899-4592
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
61759
OK
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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