Individual
LIELANI M TULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2307 S GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 878-4693
(405) 878-4690
Mailing address
2307 S GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 878-4693
(405) 878-4690
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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