Lisa Gardiner

NPI #1992461859 in Tulsa, Oklahoma

Provider Information

NPI Number: 1992461859
Entity Type: Individual
Name: Lisa Gardiner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Nov 15, 2021
Last Updated: Nov 15, 2021

Practice Location

Address: 1729 S BALTIMORE AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74119-4807
Phone: (918) 599-0532

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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