Individual
LISA CURTESS-WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
301 E WATERLOO RD, EDMOND, OK 73034-8196
(405) 715-2000
(405) 715-2010
Mailing address
301 E WATERLOO RD, EDMOND, OK 73034-8196
(405) 715-2000
(405) 715-2010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
663
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100719570B
—
OK
Enumeration date
06/16/2006
Last updated
10/31/2017
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