Individual
LISA ELAINE STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNM
Contact information
Practice address
101 S PARK LN STE 200, ALTUS, OK 73521-5731
(580) 379-6140
(580) 379-6149
Mailing address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5000
(580) 379-5509
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
50604
OK
367A00000X
Advanced Practice Midwife
APRN11047228
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200924150A
—
OK
Enumeration date
05/29/2007
Last updated
05/14/2026
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