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Nicole Lung

NPI 1912445149 · on the registry since 2017 · sole proprietor

Practice

Address
3806 N Oak Grove Dr
Apt. 612
Midwest City, OK 73110
Phone
(405) 408-3198
Fax
(405) 231-3705

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-02-08

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