Individual
MR. DALLAS COKE LOFFI-LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN BSN
Contact information
Practice address
909 ALAMEDA ST, NORMAN, OK 73071-5229
(405) 360-5100
Mailing address
909 ALAMEDA ST, NORMAN, OK 73071-5229
(405) 360-5100
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
316306
OK
163WC1500X
Community Health Registered Nurse
Primary
80874
OK
171400000X
Health & Wellness Coach
5488
OK
Other
Enumeration date
06/12/2020
Last updated
02/26/2024
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