Individual
DR. LEE MICHAEL GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
615 N COMMERCE ST, SUITE E, ARDMORE, OK 73401-3942
(580) 222-6777
Mailing address
615 N COMMERCE ST, SUITE E, ARDMORE, OK 73401-3942
(580) 222-6777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3975
OK
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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