Individual
LISA GAY WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
(918) 781-6542
(918) 683-2922
Mailing address
1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
(918) 781-6542
(918) 683-2922
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
73781
OK
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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