SearchOklahoma171M00000X

Lacey Johnson

NPI 1730531559 · on the registry since 2016 · sole proprietor

Practice

Address
1335 N Cheyenne Ave
Tulsa, OK 74106
Phone
(918) 804-5259

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Male
Record last updated
2016-07-05

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