Individual
MEAGAN EMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 E KENOSHA ST # 272, BROKEN ARROW, OK 74012-2007
(918) 695-6711
Mailing address
1216 E KENOSHA ST # 272, BROKEN ARROW, OK 74012-2007
(918) 695-6711
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-316385
OK
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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