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Search › Oklahoma › 171M00000X

Lily Southern

NPI 1447854260 · on the registry since 2020

Practice

Address
16414 W 760 Rd
Tahlequah, OK 74464
Phone
(918) 708-9009
Organisation at this address
Keetoowah Healthcare Services, Llc
Echota Behavioral Health Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-11-23

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