Individual
MR. LLOYD DEAN HILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 N. BROADWAY, P.O. BOX 99, CARNEGIE, OK 73015
(580) 654-1439
(580) 654-2637
Mailing address
225 N. BROADWAY, P.O. BOX 99, CARNEGIE, OK 73015
(580) 654-1439
(580) 654-2637
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
1195
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774209370E24
—
OK
Enumeration date
03/01/2018
Last updated
03/01/2018
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