Individual
MR. LAKEDRICK PAPA NII NEEQUAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4209 NW 23RD ST STE 100, OKLAHOMA CITY, OK 73107-2645
(405) 917-1709
Mailing address
4209 NW 23RD ST STE 100, OKLAHOMA CITY, OK 73107-2645
(405) 917-1709
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352409511
—
OK
Enumeration date
05/22/2012
Last updated
05/22/2012
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