Lisa Greathouse

NPI #1629426747 in Westville, Oklahoma

Provider Information

NPI Number: 1629426747
Entity Type: Individual
Name: Lisa Greathouse
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: May 31, 2016
Last Updated: May 31, 2016

Practice Location

Address: 500 CHINCAPIN
City: Westville
State: Oklahoma
ZIP Code: 75965
Phone: (918) 723-3181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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