Shannon Lance, ATC

NPI 1982098919 · on the registry since 2015 · sole proprietor

Practice

Address: 3900 N Mingo Rd
Tulsa, OK 74116
Phone: (918) 292-3397
Organisation at this address: Premise Health Of Oklahoma Medical Pc
Occupational Health Centers Of The Southwest P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-03-27

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