Individual
REBECCA LYNNE MANNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, IBCLC
Contact information
Practice address
825 NE 10TH ST # 3300, OKLAHOMA CITY, OK 73104-5417
(405) 271-9494
(405) 271-3727
Mailing address
2316 SHILOH PL, EDMOND, OK 73034-6907
(405) 271-4350
(405) 271-6455
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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