Individual
LIZBER BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 W COMMERCE, YUKON, OK 73099
(405) 424-7711
Mailing address
2204 GRAY DOVE DR, SHAWNEE, OK 74804-2359
(405) 664-2608
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0063242
OK
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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