Individual
DR. LISA CROMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11110 S 3RD ST, JENKS, OK 74037
(918) 928-5673
Mailing address
11110 S 3RD ST, JENKS, OK 74037-3283
(918) 938-1441
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1167
OK
Other
Enumeration date
02/26/2018
Last updated
05/06/2021
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