Individual
MRS. LILA JEAN REICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPTA
Contact information
Practice address
108 SOUTH BERKEY, DEWAR, OK 74431-0416
(918) 652-4376
(918) 652-4376
Mailing address
PO BOX 416, DEWAR, OK 74431-0416
(918) 652-4376
(918) 652-4376
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
TA260
OK
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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