Individual
LISA C HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
712 NW 35TH ST, OKLAHOMA CITY, OK 73118-7312
(405) 326-6534
Mailing address
712 NW 35TH ST, OKLAHOMA CITY, OK 73118-7312
(405) 326-6534
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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