NPI 1780807354

Loretta Sue Mathia

Practitioner Driver Grove, OK

Practice location

Address: 25510 S 607 Ln, Grove, OK 74344-0262
Phone: (918) 786-2908

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

Other Driver providers in Oklahoma →

Registry record

NPI: 1780807354
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Apr 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.