Individual
LANIE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 HERITAGE CIR, PAWNEE, OK 74058-3744
(918) 762-6751
Mailing address
1201 HERITAGE CIR, PAWNEE, OK 74058-3744
(918) 762-6751
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
10/09/2025
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