Individual
JO LYNN LERAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
527 W 3RD ST, KONAWA, OK 74849-1415
(580) 925-8911
(580) 925-8920
Mailing address
13167 NS 3570, SEMINOLE, OK 74868-5902
(405) 398-4751
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12791
OK
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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