Most Relevant Information
Provider Data
| NPI Number: | 1003350307 |
| Provider Name: | DEREK KEITH LEMASTER |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/06/2016 |
| Last Updated: | 12/06/2016 |
Provider Practice Location
305 STEVE CT
YUKON
OK
730996555
Practice Location Phone/Fax
| Phone: | 4055496796 |
| Fax: |
Provider Mailing Location
305 STEVE CT
YUKON
OK
730996555
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |