Individual
LYDIA FEIGHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10159 E 11TH ST, TULSA, OK 74128-3058
(918) 210-2022
Mailing address
4214 E 100TH ST, TULSA, OK 74137-5300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-105888
KS
1835P1300X
Psychiatric Pharmacist
Primary
64660
TX
Other
Enumeration date
07/23/2018
Last updated
02/08/2021
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