Individual
LANNY JAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 SE ROCKWOOD AVE, BARTLESVILLE, OK 74006-2425
(918) 815-3778
Mailing address
301 SE ROCKWOOD AVE, BARTLESVILLE, OK 74006-2425
(918) 815-3778
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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