Individual
LAVONNA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2250 N AIRPORT RD, WEATHERFORD, OK 73096-3351
(580) 375-6365
Mailing address
2250 N AIRPORT RD, WEATHERFORD, OK 73096-3351
(580) 375-6365
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0108158
OK
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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