Individual
STEPHANIE LACOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
414 W MUSKOGEE AVE, SULPHUR, OK 73086-4614
(580) 386-8350
Mailing address
414 W MUSKOGEE AVE, SULPHUR, OK 73086-4614
(580) 386-8350
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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