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Lavonica Powell
NPI 1750054466 · on the registry since 2021
Practice
- Address
- 300 Dalton Ave
Valliant, OK 74764 - Phone
- (580) 203-3600
- Fax
- (833) 402-9799
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma