Individual
CONNIE LEE BARTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
4801 INTEGRIS PKWY, EDMOND, OK 73034-8864
(405) 657-3250
Mailing address
14218 S FAIRGROUNDS, PERKINS, OK 74059-3582
(405) 760-2344
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
83180
OK
Other
Enumeration date
01/06/2015
Last updated
10/14/2020
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