Individual
AMANDA LYNN LAFARLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRNC-NP
Contact information
Practice address
411 N RANDALL AVE, ELK CITY, OK 73644-4127
(580) 243-2273
(580) 243-2832
Mailing address
411 N RANDALL AVE, ELK CITY, OK 73644-4127
(580) 243-2273
(580) 243-2832
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0044560
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200081520B
—
OK
Enumeration date
08/13/2006
Last updated
12/08/2014
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