Individual
DR. LOIS S BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2605 S BEECH AVE, BROKEN ARROW, OK 74012-7304
(918) 607-6533
(918) 615-6963
Mailing address
2605 S BEECH AVE, BROKEN ARROW, OK 74012-7304
(918) 607-6533
(918) 615-6963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2684
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100203570C
—
OK
01
—
400522545
MEDICARE ID NUMBER
OK
Enumeration date
07/13/2006
Last updated
04/09/2009
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