NPI 1538285267

Leisa Gayle Carr

Practitioner Driver Sulphur, OK

Practice location

Address: 707 E Oklahoma Ave, Sulphur, OK 73086-3038
Phone: (580) 622-6788

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 172A00000X (OK)

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Registry record

NPI: 1538285267
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.