Lesa Landon and Amber Landon

NPI #1134456551 in Grove, Oklahoma

Provider Information

NPI Number
1134456551
Entity Type
Organization
Organization Name
Lesa Landon and Amber Landon
Primary Specialty
Clinic/Center
Enumeration Date
Nov 5, 2009
Last Updated
Mar 31, 2010

Practice Location

Address
63153 EAST 290 ROAD
City
Grove
ZIP Code
74344
Phone
(918) 801-5991

Authorized Official

Name
LESA LANDON
Title
GENERAL PARTNER
Phone
(918) 801-5991

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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