Individual
LANA HUSONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
859 E MELTON DRIVE, JAY, OK 74346
(918) 253-1700
(918) 253-6822
Mailing address
859 E MELTON DRIVE, JAY, OK 74346
(918) 253-1700
(918) 253-6822
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
41686
OK
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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