person
Niki S Lewis-wyatt, PAC
Medical Physician Assistant in Cherokee, Oklahoma
NPI 1922008572

Niki S Lewis-wyatt is a Medical Physician Assistant based in Cherokee, OK and is specialized in Medical. Niki S Lewis-wyatt practices in Cherokee, OK and has the professional credentials of PAC. The NPI Number for Niki S Lewis-wyatt is 1922008572 and holds a License No. 758 (Oklahoma).

The current practice location address for Niki S Lewis-wyatt is 221 S Grand Ave, Cherokee, OK and can be reached out via phone at 580-307-6263 and via fax at 580-603-8602.

Location: 221 S Grand Ave, Cherokee, OK, 73728-2029
person
Provider Profile Details
NPI Number
1922008572
Provider Name
Niki S Lewis-wyatt
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
221 S Grand Ave, Cherokee, OK, 73728-2029
Phone Number
580-307-6263
Fax Number
580-603-8602
Provider Enumeration Date
07/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100132420C 05 OK
institution
Provider Business Practice Location Address Details
Address
221 S Grand Ave
City
State
Zip
73728
Phone Number
580-307-6263
Fax Number
580-603-8602
person
Provider Business Mailing Address Details
Address
221 S Grand Ave
City
State
Zip
73728
Phone Number
580-307-6263
Fax Number
580-603-8602
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
758 (Oklahoma)
Definition
Definition to come...
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