Individual
MS. LISA DIANE DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1209 S C ST, MCALESTER, OK 74501-6205
(405) 590-7907
Mailing address
1209 S C ST, MCALESTER, OK 74501-6205
(405) 590-7907
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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