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Lisa Diane Bonham, LPN
Licensed Practical Nurse in Ardmore, Oklahoma
NPI 1568856771

Lisa Diane Bonham is a Licensed Practical Nurse based in Ardmore, OK. Lisa Diane Bonham practices in Ardmore, OK and has the professional credentials of LPN. The NPI Number for Lisa Diane Bonham is 1568856771 and holds a License No. L0029404 (Oklahoma).

The current practice location address for Lisa Diane Bonham is 2530 S Commerce St, Ardmore, OK and can be reached out via phone at 580-223-5070 and via fax at 580-226-3569.

Location: 2530 S Commerce St, Ardmore, OK, 73401-5519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568856771
Provider Name
Lisa Diane Bonham
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
2530 S Commerce St, Ardmore, OK, 73401-5519
Phone Number
580-223-5070
Fax Number
580-226-3569
Provider Enumeration Date
03/25/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2530 S Commerce St
City
Ardmore
State
Oklahoma
Zip
73401-5519
Phone Number
580-223-5070
Fax Number
580-226-3569
person
Provider Business Mailing Address Details
Address
2530 S Commerce St
City
Ardmore
State
Oklahoma
Zip
73401-5519
Phone Number
580-223-5070
Fax Number
580-226-3569
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
L0029404 (Oklahoma)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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