Individual
MS. GANICIA LASHON ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3621 N KELLEY AVE STE 100, OKLAHOMA CITY, OK 73111-4520
(405) 524-5525
Mailing address
7000 W BRITTON RD APT 1814, OKLAHOMA CITY, OK 73132-1711
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
01/05/2023
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