Individual
MR. LAHCEN ANDREW DALLALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 N 31ST ST, CLINTON, OK 73601-9116
(580) 323-6021
Mailing address
105 SE 45TH ST, OKLAHOMA CITY, OK 73129-3201
(405) 634-4400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/09/2012
Last updated
08/01/2012
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