Individual
MS. LISA R GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
31 LAKE CREST DR, LAWTON, OK 73507-9350
(480) 980-0983
Mailing address
31 LAKE CREST DR, LAWTON, OK 73507-9350
(480) 980-0983
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
211776
OK
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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