NPI 1831990381

Lacie Jae Boles

Practitioner Community Health Worker Shawnee, OK

Practice location

Address: 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007
Phone: (405) 214-5111

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Oklahoma →

Registry record

NPI: 1831990381
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2025
Record last updated: 21 Mar 2025

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.