Individual
LORI DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
600 S COLLEGE AVE, TULSA, OK 74104-3126
(918) 631-2915
(918) 631-3668
Mailing address
7403 W 39TH ST, TULSA, OK 74107-4865
(918) 631-2915
(918) 631-3668
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1006
OK
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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