Individual
MRS. LANA J MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS RPT
Contact information
Practice address
916 SW 38TH ST, SUITE C, LAWTON, OK 73505
(580) 353-1490
(580) 250-1651
Mailing address
885 SW COUNTRY HWY 115, CACHE, OK 73527-4727
(580) 429-8569
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1691
OK
Other
Enumeration date
04/28/2006
Last updated
07/08/2007
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