Individual
MRS. TABATHA LEFORCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6026 BATTIEST PICKENS RD, BROKEN BOW, OK 74728-5033
(580) 241-5294
(580) 241-5549
Mailing address
PO BOX 180, BATTIEST, OK 74722-0180
(580) 241-5294
(580) 241-5549
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
78809
OK
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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