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General NPI Number Information
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NPI Number | 1972411718
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Entity Type | Organization
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Legal Business Name | LISA MATSON MD PLLC
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 1100 HOSPITAL CIR
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City | KINGFISHER
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State | OK
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Zip | 73750-5001
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Country | US
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Telephone | 405-375-2350
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Fax | 405-375-2368
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Provider Business Mailing Address
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Address Line | 1100 HOSPITAL CIR
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City | KINGFISHER
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State | OK
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Zip | 73750-5001
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Country | US
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Telephone | 405-375-2350
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Fax | 405-375-2368
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Authorized Official
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Title or Position | OWNER
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Name | LISA S MATSON
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Credential | MD
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Telephone | 405-538-7811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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