Individual
ELISABETH LYNNE HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-1000
Mailing address
1201 S KALANCHOE AVE, BROKEN ARROW, OK 74012-0987
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2022024199
MO
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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