Individual
LISA ELAINE PARENICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 FLAMINGO AVE, OKLAHOMA CITY, OK 73127-5013
(405) 905-5557
Mailing address
1029 FLAMINGO AVE, OKLAHOMA CITY, OK 73127-5013
(405) 905-5557
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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