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Lacy Bonham

NPI 1275132888 · on the registry since 2020

Practice

Address
3750 W Main St Ste Aa
Norman, OK 73072
Phone
(405) 824-8378
Organisation at this address
Luminous Therapy Inc.
Serenity Wellness Llc
John Hurley Ph D Pllc
Andrea Clark Psyd Llc
Oklahoma Dental-Norman
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma