Individual
LENORA MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
1801 MARK TRL, OKLAHOMA CITY, OK 73141-4414
(813) 367-6363
Mailing address
1801 MARK TRL, OKLAHOMA CITY, OK 73141-4414
(813) 367-6363
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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