Individual
MELISSA LANIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N. LOUISA, SHAWNEE, OK 74801
(405) 273-1846
Mailing address
801 N. LOUISA, SHAWNEE, OK 74801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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