MS. Lisa Danette West, PA-C

NPI #1104896760 in Moore, Oklahoma

Provider Information

NPI Number
1104896760
Entity Type
Individual
Name
MS. Lisa Danette West, PA-C
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Jan 25, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
520 S TELEPHONE RD
City
Moore
ZIP Code
73160-5423
Phone
(405) 793-9355

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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