Individual
LORI MICHELE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-2200
Mailing address
6161 S YALE AVE, TULSA, OK 74136-1902
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
115301
OK
Other
Enumeration date
10/30/2015
Last updated
11/14/2015
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