Individual
LISA CAROLIN WILMETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1202 SW 67TH ST, LAWTON, OK 73505-7437
(818) 749-1203
Mailing address
706 FILLMORE ST, WICHITA FALLS, TX 76301-4013
(940) 235-9743
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209852
OK
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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