Individual
ALAWNDRA VAUGHN LUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12600 N MACARTHUR BLVD APT 312, OKLAHOMA CITY, OK 73142-2941
(404) 565-3942
Mailing address
12600 N MACARTHUR BLVD APT 312, OKLAHOMA CITY, OK 73142-2941
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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