Individual
STACEY LEE WEEAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5107
(405) 424-7711
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0111065
OK
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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