Individual
MRS. NICKOLATE LORENZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1719 QUAIL CREEK DR, NORMAN, OK 73026-0943
(405) 360-1838
(405) 360-0818
Mailing address
1719 QUAIL CREEK DR, NORMAN, OK 73026-0943
(405) 360-1838
(405) 360-0818
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
OK
Other
Enumeration date
06/17/2007
Last updated
07/08/2007
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