Individual
LISA SCHEYER MATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1204 W WILLOW RD, SUITE B, ENID, OK 73703-2531
(580) 237-4100
(580) 237-4109
Mailing address
1204 W WILLOW RD, SUITE B, ENID, OK 73703-2531
(580) 237-4100
(580) 237-4109
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23795
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200047970A
—
OK
Enumeration date
03/16/2006
Last updated
07/08/2007
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