Individual
DR. LISA ANN MAPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
1200 EVERETT DR, OKLAHOMA CITY, OK 73104-5047
(495) 271-4047
Mailing address
14625 S MIDWEST BLVD, EDMOND, OK 73034-9337
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11541
OK
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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