Individual
LACEY HOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP, FNP-C
Contact information
Practice address
1900 S COUNTRY CLUB RD, EL RENO, OK 73036-5427
(405) 295-2900
Mailing address
533 HUTTON RD, YUKON, OK 73099-9608
(580) 445-6142
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
106111
OK
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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