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Mrs. Lisa Diane Noe, PA
Medical Physician Assistant in Cushing, Oklahoma
NPI 1063566743

Lisa Diane Noe is a Medical Physician Assistant based in Cushing, OK and is specialized in Medical. Lisa Diane Noe practices in Cushing, OK and has the professional credentials of PA. The NPI Number for Lisa Diane Noe is 1063566743 and holds a License No. 1499 (Oklahoma).

The current practice location address for Lisa Diane Noe is 1030 E Cherry St, Cushing, OK and can be reached out via phone at 918-225-0616 and via fax at 918-225-3740.

Location: 1030 E Cherry St, Cushing, OK, 74023-4102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063566743
Provider Name
Lisa Diane Noe
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1030 E Cherry St, Cushing, OK, 74023-4102
Phone Number
918-225-0616
Fax Number
918-225-3740
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200075990A 05 OK
institution
Provider Business Practice Location Address Details
Address
1030 E Cherry St
City
Cushing
State
Oklahoma
Zip
74023-4102
Phone Number
918-225-0616
Fax Number
918-225-3740
person
Provider Business Mailing Address Details
Address
1030 E Cherry St
City
Cushing
State
Oklahoma
Zip
74023-4102
Phone Number
918-225-0616
Fax Number
918-225-3740
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
1499 (Oklahoma)
Definition
Definition to come...
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