Individual
LISA HAYWOOD VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2307 GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 273-5236
(405) 878-4690
Mailing address
2307 GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 273-5236
(405) 878-4690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
96254
OK
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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