Lisa Miksell

NPI #1104224450 in Pryor, Oklahoma

Provider Information

NPI Number: 1104224450
Entity Type: Individual
Name: Lisa Miksell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Dec 17, 2014
Last Updated: Dec 22, 2014

Practice Location

Address: 231 E GRAHAM AVE
City: Pryor
State: Oklahoma
ZIP Code: 74361-2436
Phone: (918) 825-1405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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