Individual
MAKENZIE LUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W 2ND ST, HEAVENER, OK 74937-3002
(918) 653-4313
Mailing address
34 PICKLE LN, HEAVENER, OK 74937-9401
(918) 647-6012
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6313
OK
Other
Enumeration date
08/24/2023
Last updated
02/26/2025
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