Individual
LORI ANN ISELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
1200 E PECAN, ALTUS, OK 73521
(580) 482-4781
(580) 481-2345
Mailing address
1200 E PECAN, PO BOX 8190, ALTUS, OK 73522-8190
(580) 482-4781
(580) 481-2345
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
338
OK
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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