Most Relevant Information
Provider Data
NPI Number: | 1003214610 |
Provider Name: | LAMETRICE OGLESBY |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 12/12/2014 |
Last Updated: | 12/12/2014 |
Provider Practice Location
602 SW 38TH ST
LAWTON
OK
735056912
Practice Location Phone/Fax
Phone: | 5802485780 |
Fax: |
Provider Mailing Location
602 SW 38TH ST
LAWTON
OK
735056912
Provider Mailing Phone/Fax
Phone: | |
Fax: |