MRS. Lisa John

NPI #1710280698 in Ada, Oklahoma

Provider Information

NPI Number: 1710280698
Entity Type: Individual
Name: MRS. Lisa John
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Dec 14, 2010
Last Updated: Sep 24, 2014

Practice Location

Address: 124 S BROADWAY AVE STE 200
City: Ada
State: Oklahoma
ZIP Code: 74820-5825
Phone: (580) 332-3001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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