Individual
LILY LOOKOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
473 ELKS LODGE ROAD, PAWHUSKA, OK 74056
(539) 212-2499
Mailing address
473 ELKS LODGE ROAD, PAWHUSKA, OK 74056
(539) 212-2499
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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