Individual
LACEY MCCRARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2307 GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 273-5236
(405) 818-4690
Mailing address
2307 GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 273-5236
(405) 818-4690
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
89833
OK
Other
Enumeration date
06/30/2011
Last updated
12/13/2016
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