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Individual

DR. LISA DANELE TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4514 MEMORIAL CIR, SUITE B, OKLAHOMA CITY, OK 73142-5000
(405) 751-1321
(405) 755-3708
Mailing address
4514 MEMORIAL CIR, SUITE B, OKLAHOMA CITY, OK 73142-5000
(405) 751-1321
(405) 755-3708

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
17865
OK

Other

Enumeration date
09/15/2006
Last updated
07/08/2007
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