Individual
DR. JENNA MARIE LIGHTHIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1001 N GRAND AVE, NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY, TAHLEQUAH, OK 74464
(918) 458-2109
Mailing address
1001 N GRAND AVE, NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY, TAHLEQUAH, OK 74464-7017
(918) 458-2109
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2609
OK
Other
Enumeration date
07/25/2008
Last updated
05/31/2018
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