Healthcare Provider Details

I. General information

NPI: 1427365162
Provider Name (Legal Business Name): ALLISON LEES D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2010
Last Update Date: 05/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6446 AVONDALE DR
NICHOLS HILLS OK
73116-6404
US

IV. Provider business mailing address

6446 AVONDALE DR
NICHOLS HILLS OK
73116-6404
US

V. Phone/Fax

Practice location:
  • Phone: 405-286-1259
  • Fax: 405-286-2441
Mailing address:
  • Phone: 405-286-1259
  • Fax: 405-286-2441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3986
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: