Individual
LANA KAY GOURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4444 E 41ST ST, 3RD FLOOR, STE B, TULSA, OK 74135-2527
(918) 582-0721
(918) 582-4751
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 660-3632
(918) 660-3631
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
237
OK
Other
Enumeration date
01/26/2006
Last updated
08/24/2007
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