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Lisa Marie Hiddleston
Peer Specialist in Lawton, Oklahoma
NPI 1518597632

Lisa Marie Hiddleston is a Peer Specialist based in Oklahoma City, OK. Lisa Marie Hiddleston practices in Lawton, OK. The NPI Number for Lisa Marie Hiddleston is 1518597632 and holds a License No. (Oklahoma).

The current practice location address for Lisa Marie Hiddleston is 8501 Nw Madische Rd, Lawton, OK and can be reached out via phone at 580-492-3614.

Location: 8501 Nw Madische Rd, Lawton, OK, 73108-4249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518597632
Provider Name
Lisa Marie Hiddleston
Credential
Provider Entity Type
Individual
Gender
Female
Address
8501 Nw Madische Rd, Lawton, OK, 73108-4249
Phone Number
580-492-3614
Fax Number
Provider Enumeration Date
01/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8501 Nw Madische Rd
City
Lawton
State
Oklahoma
Zip
73507-1221
Phone Number
580-492-3614
Fax Number
person
Provider Business Mailing Address Details
Address
8501 Nw Madische Rd
City
Lawton
State
Oklahoma
Zip
73507-1221
Phone Number
580-492-3614
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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