Individual
SARA LACY-ANTONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
900 NW 12TH ST, OKLAHOMA CITY, OK 73106-6804
(405) 516-0276
Mailing address
900 NW 12TH ST, OKLAHOMA CITY, OK 73106-6804
(405) 516-0276
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
117846
OK
Other
Enumeration date
04/20/2020
Last updated
03/29/2023
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