MEDICARE: MRS. LASHERRI WRIGHT BHRS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1306100821	OTHER	OK	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306100821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LASHERRI WRIGHT BHRS

Provider Business Mailing Address
First Line	:	PO BOX 32701
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73123-0901
Country	:	US
Telephone Number	:	405-693-3106
Fax Number	:

Provider Business Practice Location Address
First Line	:	7901 NE 10TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73110-3600
Country	:	US
Telephone Number	:	405-693-3106
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2012
Last Update Date	:	01/16/2014

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