Organization
LAKE HEALTH AND CHIROPRACTIC, PLLC
Active
Other names
Stout-Ferguson Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMMIE JO FERGUSON D.C. (MANAGER/CO-OWNER)
(918) 786-8834
Entity
Organization
Contact information
Practice address
1107 E. 13TH ST., SUITES A&B, GROVE, OK 74344-7956
(918) 786-8834
(918) 786-6520
Mailing address
1107 E. 13TH ST., SUITES A&B, GROVE, OK 74344-7956
(918) 786-8834
(918) 786-6520
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3930
OK
Other
Enumeration date
11/15/2010
Last updated
08/04/2020
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