Lisa June Coulter
NPI #1821690637 in Tishomingo, Oklahoma
Provider Information
- NPI Number
- 1821690637
- Entity Type
- Individual
- Name
- Lisa June Coulter
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Nov 16, 2020
- Last Updated
- Nov 16, 2020
Practice Location
- Address
- 910 N BROADWAY ST
- City
- Tishomingo
- State
- Oklahoma
- ZIP Code
- 73460-1038
- Phone
- (580) 399-6430
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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