Individual
TONYA L DEFOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC IBCLC
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 250-5253
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 250-5253
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-142998
OK
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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