Individual
MISS LAKEISHA SHANAE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 216-4999
(918) 216-4998
Mailing address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 216-4999
(918) 216-4998
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0097071
OK
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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