Individual
LISA BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 14TH AVE NW, ARDMORE, OK 73401-1837
(580) 223-5311
Mailing address
921 14TH AVE NW, ARDMORE, OK 73401-1837
(580) 223-5311
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
76997
OK
Other
Enumeration date
12/31/2014
Last updated
02/26/2015
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