Individual
MARTHA L CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7924 CHOUTEAU SPGS CIR RD, LEXINGTON, OK 73051-4800
(405) 413-5141
Mailing address
PO BOX 1297, NOBLE, OK 73068-1297
(405) 413-5141
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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