SearchOklahoma174400000X

Heaven Lax

NPI 1992355994 · on the registry since 2019 · sole proprietor

Practice

Address
1229 Live Oak St
Muskogee, OK 74403
Phone
(918) 360-9913

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-09-12

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