Individual
DENISE LAUREN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1613 SE 66TH ST, OKLAHOMA CITY, OK 73149-5203
(405) 616-3366
Mailing address
13912 PENNYWORTH DR, YUKON, OK 73099-1343
(405) 620-6198
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0051667
OK
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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