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Individual

MRS. STEPHANIE LYNN LANDEROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN, CLC

Contact information

Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5000
(580) 354-5511
Mailing address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5000
(580) 354-5511

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
52977
OK

Other

Enumeration date
04/02/2014
Last updated
04/02/2014
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