Individual
LACY D OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 N DENVER AVE, TULSA, OK 74103-1806
(918) 582-1200
(918) 560-1399
Mailing address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 600-3729
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8784
OK
Other
Enumeration date
11/26/2018
Last updated
10/21/2022
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