Individual
DR. NATHAN ROBERT LIGHTHIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1001 N GRAND AVE, TAHLEQUAH, OK 74464-7017
(918) 458-2109
(918) 458-2310
Mailing address
1001 N GRAND AVE, TAHLEQUAH, OK 74464-7017
(918) 458-2109
(918) 458-2310
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WAITING FOR LICENCE
OK
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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