Individual
LORI LYNN LEATHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5330 E 31ST ST STE 1000, TULSA, OK 74135-5010
(918) 933-1571
Mailing address
4320 S GARNETT RD APT 105, TULSA, OK 74146-4246
(918) 933-1571
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
01/13/2025
Last updated
03/03/2025
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