Individual
LISA HARBISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
7905 E US HIGHWAY 66, EL RENO, OK 73036-9225
(405) 262-0202
Mailing address
4400 BUCKHORN LN, EL RENO, OK 73036-7706
(405) 641-5551
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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