Individual
CRYSTAL DAWN DISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(918) 682-5501
Mailing address
PO BOX 908, WARNER, OK 74469-0908
(918) 781-2022
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-311235
OK
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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