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Individual

LISA JEAN CLAYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1401 E VAN BUREN AVE, MCALESTER, OK 74501-4245
(918) 426-0240
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
(918) 488-6001

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R00766972
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R0076972
LICENSURE NUMBER
OK
Enumeration date
07/27/2009
Last updated
06/12/2014
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