Organization
STANLEY FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANNY LAMON STANLEY DC (PRESIDENT DOCTOR)
(405) 238-3709
Entity
Organization
Contact information
Practice address
1555 W GRANT, PAULS VALLEY, OK 73075
(405) 238-3709
(405) 238-1877
Mailing address
PO BOX 915, PAULS VALLEY, OK 73075
(405) 238-3709
(405) 238-1877
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
441907238002
BLUE CROSS BLUE SHIELD
OK
01
—
446720429002
BLUE CROSS BLUE SHIELD
OK
Enumeration date
11/29/2006
Last updated
11/26/2007
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