Individual
LUCY A ELBAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17321 TRIANA DR, OKLAHOMA CITY, OK 73170-6631
(405) 759-7917
Mailing address
17321 TRIANA DRIVE, OKLAHOMA, OK 73170-6631
(405) 759-7917
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
87326
OK
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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