| Lorraine O'neill, Llc | |
|
516 Leahy Ave Pawhuska OK 74056-5210 | |
| (580) 761-2972 | |
| Not Available |
| Full Name | Lorraine O'neill, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 516 Leahy Ave, Pawhuska, Oklahoma |
| Authorized Official Name and Position | Lorraine A O'neill (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5807612972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorraine O'neill, Llc 472 85th Rd Ponca City OK 74604-6675 Ph: (580) 761-2972 | Lorraine O'neill, Llc 516 Leahy Ave Pawhuska OK 74056-5210 Ph: (580) 761-2972 |
| NPI Number | 1710737622 |
|---|---|
| Provider Enumeration Date | 03/25/2024 |
| Last Update Date | 03/25/2024 |
| Certification Date | 03/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710737622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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