Individual
LISA A. NOWLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
201 GARRETT ST, ELK CITY, OK 73644-4332
(580) 225-4690
(580) 225-8205
Mailing address
201 GARRETT ST, ELK CITY, OK 73644-4332
(580) 225-4690
(580) 225-8205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4652
OK
Other
Enumeration date
06/24/2006
Last updated
07/08/2007
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