Lisa Siswanto
Lisa Siswanto is a Student in an Organized Health Care Education/Training Program in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2011.
- Licensed in
- OK
- In the registry since
- 2011
Practice location Address checks out
4502 E 41st StTulsa, OK 74135-2536
Phone: (918) 660-3416
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (OK) |
|---|
Record details
| NPI number | 1831489004 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 8, 2011 |
| Last updated in NPPES | April 8, 2011 |
| Mailing address | 4502 E 41st St, Tulsa, OK 74135-2536 |
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