Individual
DESTANY S MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, CLC, CLSP
Contact information
Practice address
517 GRANDVIEW BLVD, MUSKOGEE, OK 74403-8712
(303) 549-0325
Mailing address
517 GRANDVIEW BLVD, MUSKOGEE, OK 74403-8712
(303) 549-0325
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
ALPP-333912
TX
174N00000X
Lactation Consultant (Non-RN)
Primary
L-319195
—
Other
Enumeration date
06/29/2022
Last updated
07/27/2025
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