Individual
SIDNEY LASHELL EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4420 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 425-0341
Mailing address
1511 N MIDWEST BLVD APT 6, OKLAHOMA CITY, OK 73110-3244
(405) 824-2907
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0044958
OK
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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