Individual
ELIZABETH ANNE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
10501 E 91ST ST, TULSA, OK 74133-5888
(918) 307-6394
Mailing address
3102 S NARCISSUS PL, BROKEN ARROW, OK 74012-6845
(918) 430-4985
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R0102187
OK
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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