Lanica Willaby
Lanica Willaby is a Peer Specialist in Wagoner, Oklahoma. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
307 E Cherokee StWagoner, OK 74467-4729
Phone: (918) 485-7991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1578101002 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 16, 2019 |
| Last updated in NPPES | December 16, 2019 |
| Certification date | December 16, 2019 |
| Mailing address | 307 E Cherokee St Rm 215, Wagoner, OK 74467-4729 |
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