Individual
MS. LAWNA JOANNE SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RT 3 BOX 152A, MCALESTER, OK 74501
(918) 548-3335
Mailing address
PO BOX 118, PITTSBURG, OK 74560
(918) 424-2639
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3747P1801X
OK
Other
Enumeration date
04/12/2007
Last updated
07/09/2007
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