Lisa Danette West in Oklahoma City - Medical

Lisa Danette West - NPI 1104896760

Lisa Danette West is a Medical in Oklahoma City, Oklahoma. Lisa Danette West practices all healthcare services and medical treatments related to Medical. The NPI Number for Lisa Danette West is 1104896760. The last update date is 2007-07-08.

Lisa Danette West's current location address is 3555 Nw 58th St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4059170418 and fax number 4059170419. The mailing address for Lisa Danette West is 3555 Nw 58th St, Oklahoma City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Danette West
Address 3555 Nw 58th St, Oklahoma City, Oklahoma
Phone Number 4059170418
Fax Number 4059170419
Sole Proprietor X
Credentials PA-C

NPI Number Detail

NPI Number 1104896760
Provider Enumeration Date 2006-01-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3555 Nw 58th St
City Oklahoma City
State Oklahoma (OK)
Post Code 731124707
Phone Number 4059170418
Fax Number 4059170419

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 1163
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Lisa Danette West

What is the unique 10-digit identifier code assigned to Lisa Danette West by the Centers for Medicare & Medicaid Services?

The Lisa Danette West has been issued the NPI (National Provider Identifier) 1104896760 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Lisa Danette West's facilities are situated?

The facilities of Lisa Danette West are physically located at the following address: 3555 Nw 58Th St, Oklahoma City, OK, 731124707.

What is the Lisa Danette West's specialty and taxonomy code?

The Lisa Danette West's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

On what date did the Lisa Danette West receive its 1104896760 assignment from the Centers for Medicare & Medicaid Services?

The Lisa Danette West was assigned its 1104896760 by the Centers for Medicare & Medicaid Services on 2006-01-25.

When was the information pertaining to Lisa Danette West most recently updated or revised?

The details related to Lisa Danette West, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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