Individual
LACY DIANE WESTFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1116 WALNUT DR, ARDMORE, OK 73401-2353
(580) 223-6054
(580) 226-2284
Mailing address
1116 WALNUT DR, ARDMORE, OK 73401-2353
(580) 226-0543
(580) 226-6213
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
201543
OK
363LW0102X
Women's Health Nurse Practitioner
Primary
201543
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201064730A
—
OK
Enumeration date
03/23/2021
Last updated
06/28/2022
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