Individual
LORI ANN MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 S CARSON AVE, TULSA, OK 74119-4610
(918) 899-6957
Mailing address
14705 N 46TH WEST AVE, SKIATOOK, OK 74070-5402
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/03/2026
Last updated
07/03/2026
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