Individual
LISA SCANTLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 E GRAHAM AVE, PRYOR, OK 74361-2436
(918) 825-1405
(918) 825-1406
Mailing address
4005 EUFAULA AVE, MUSKOGEE, OK 74403-1132
(918) 348-6422
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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