Individual
MEAGAN LACEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 CAMPUS DR, WEATHERFORD, OK 73096-3001
(580) 774-7176
Mailing address
2804 HAYES AVE APT 5, CLINTON, OK 73601-3630
(405) 952-4470
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
218079
OK
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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