Individual
LAUREN RACHELLE CISPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
221 S FLORENCE AVE, 150, CLAREMORE, OK 74017-7262
(918) 341-2020
Mailing address
30725 S POWERS LN, INOLA, OK 74036-3057
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2769
OK
Other
Enumeration date
07/29/2013
Last updated
09/25/2014
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