Individual
LISA LEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
108 JOHN DR, POTEAU, OK 74953-2005
(918) 839-4999
(918) 647-8121
Mailing address
108 JOHN DR, POTEAU, OK 74953-2005
(918) 839-4999
(918) 647-8121
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200226970
—
OK
Enumeration date
09/19/2012
Last updated
09/19/2012
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