Lightwork Psychological Services LLC

NPI #1861273674 in Moore, Oklahoma

Provider Information

NPI Number: 1861273674
Entity Type: Organization
Organization Name: Lightwork Psychological Services LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Oct 9, 2023
Last Updated: Oct 9, 2023

Practice Location

Address: 1111 MAGNOLIA CT STE 209
City: Moore
State: Oklahoma
ZIP Code: 73160-1391
Phone: (405) 256-8230

Authorized Official

Name: DR. LATOSHA S RAMOS LAKE, PSYD
Title: LICENSED PSYCHOLOGIST/MANAGER
Phone: (785) 220-6088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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