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Individual

MRS. LISA LEIFHEIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
700 W 7TH AVE, BRISTOW, OK 74010-2302
(918) 367-2215
Mailing address
700 W 7TH AVE, BRISTOW, OK 74010-2302
(918) 367-2215

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0069183
OK

Other

Enumeration date
01/18/2016
Last updated
01/18/2016
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