Individual
KRISTAL LEE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 SW A AVENUE, LAWTON, OK 73501
(580) 357-8114
Mailing address
1114 SW A AVENUE, LAWTON, OK 73501
(580) 357-8114
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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