Individual
LORA JANE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 TINKER DIAGONAL, DEL CITY, OK 73115-1019
(405) 737-9039
Mailing address
14330 SE 29TH ST, CHOCTAW, OK 73020-6584
(405) 365-7716
(405) 702-9711
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/08/2018
Last updated
12/08/2018
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