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Lisa Fillmore
NPI 1699855296 · on the registry since 2006
Practice
- Address
- 1007 N Country Club Rd
Ada, OK 74820 - Phone
- (580) 421-6260
- Fax
- (580) 559-0610
- Organisation at this address
- Sovereign Family Clinic, Llc
The Chickasaw Nation Employee Clinic Pharmacy- Ada
Chickasaw Nation Division Of Health Chickasaw Nation Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-23
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