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Lesa Landon And Amber Landon
Clinic/Center in Grove, Oklahoma
NPI 1134456551

Lesa Landon And Amber Landon is a Clinic/Center based in Grove, OK. Lesa Landon And Amber Landon practices in Grove, OK. The NPI Number for Lesa Landon And Amber Landon is 1134456551 and holds a License No. (Oklahoma).

The current practice location address for Lesa Landon And Amber Landon is 63153 East 290 Road, Grove, OK and can be reached out via phone at 918-801-5991.

Location: 63153 East 290 Road, Grove, OK, 74345-0164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134456551
Provider Name
Lesa Landon And Amber Landon
Credential
Provider Entity Type
Organization
Address
63153 East 290 Road, Grove, OK, 74345-0164
Phone Number
918-801-5991
Fax Number
Provider Enumeration Date
11/05/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OKB5889 01 OK MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
63153 East 290 Road
City
Grove
State
Oklahoma
Zip
74344
Phone Number
918-801-5991
Fax Number
person
Provider Business Mailing Address Details
Address
63153 East 290 Road
City
Grove
State
Oklahoma
Zip
74344
Phone Number
918-801-5991
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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