Individual
LYSHA HUNERYAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8523 E 11TH ST STE A, TULSA, OK 74112-7963
(918) 609-1600
Mailing address
8523 E 11TH ST STE A, TULSA, OK 74112-7963
(918) 609-1600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0105988
OK
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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