Individual
SHANNON LEE VANHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3010 NE KINGSBRIAR DR, LAWTON, OK 73507-1917
(307) 757-5407
Mailing address
3010 NE KINGSBRIAR DR, LAWTON, OK 73507-1917
(307) 757-5407
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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