Individual
KENECIA LAVONNE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 N AIRPORT RD, WEATHERFORD, OK 73096-3351
(580) 375-6300
Mailing address
1501 LERA STE 5, WEATHERFORD, OK 73096-2671
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
09/14/2021
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