Individual
MR. BRANDON HEATH LALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 SW PENN AVE, GRAND LAKE MENTAL HEALTH CENTER, INC, BARTLESVILLE, OK 74003-3847
(918) 337-8080
(918) 337-8099
Mailing address
700 SW PENN AVE, GRAND LAKE MENTAL HEALTH CENTER, INC., BARTLESVILLE, OK 74003-3847
(918) 337-8080
(918) 337-8099
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/13/2017
Last updated
12/13/2017
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