Lila Marie Roughface
Lila Marie Roughface is a Peer Specialist in Ponca City, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
200 White Eagle DrPonca City, OK 74601-8315
Phone: (580) 749-7322
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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 | 1538919006 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 26, 2024 |
| Last updated in NPPES | March 26, 2024 |
| Certification date | March 26, 2024 |
| Mailing address | 200 White Eagle Dr, Ponca City, OK 74601-8315 |
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