Individual
KRISTINA LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1505 EAST MAIN STREET, STIGLER, OK 74462-2914
(918) 967-3368
(918) 967-4582
Mailing address
PO BOX 179, STIGLER, OK 74462-0179
(918) 967-3368
(918) 967-4582
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
93136
OK
Other
Enumeration date
09/21/2015
Last updated
09/02/2016
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