MRS. Lisa R Tye, DPH

NPI #1780982983 in Stilwell, Oklahoma

Provider Information

NPI Number
1780982983
Entity Type
Individual
Name
MRS. Lisa R Tye, DPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
DPH
Enumeration Date
Mar 11, 2011
Last Updated
Mar 11, 2011

Practice Location

Address
RT 6
Address 2
840
ZIP Code
74960
Phone
(918) 696-8800

Specialties & Taxonomy Codes

Specialty
Pharmacist

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