Individual
LOLA JANE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5705 E 71ST ST STE 250, TULSA, OK 74136-6680
(918) 477-9080
(918) 948-7735
Mailing address
9005 S HUDSON AVE, TULSA, OK 74137-3576
(918) 360-7014
(866) 310-4081
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0044395
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0044395
RN LICENSE
OK
Enumeration date
02/14/2024
Last updated
02/14/2024
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