Lameisha Marquita Phillips, PRSS, CM1,

NPI #1376257642 in Spiro, Oklahoma

Provider Information

NPI Number: 1376257642
Entity Type: Individual
Name: Lameisha Marquita Phillips, PRSS, CM1,
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: PRSS, CM1,
Enumeration Date: Jan 10, 2023
Last Updated: Jan 10, 2023

Practice Location

Address: 15949 US HIGHWAY 271
City: Spiro
State: Oklahoma
ZIP Code: 74959-5276
Phone: (918) 839-1743

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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