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NPI Code Detail

MEDICARE: LISA MORRELL DAWSON LPC

MEDICARE: LISA MORRELL DAWSON LPC
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
1101YM0800XMental Health CounselorLPC04787OK
2101YP2500XProfessional CounselorLPC04787OK

General Provider Information

NPI Number : 1801178231
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA MORRELL DAWSON LPC
Provider Business Mailing Address
First Line : 6400 S LEWIS AVE STE 100
Second Line :
City : TULSA
State : OK
Zip : 74136-1019
Country : US
Telephone Number : 405-378-2727
Fax Number :
Provider Business Practice Location Address
First Line : 6400 S LEWIS AVE STE 100
Second Line :
City : TULSA
State : OK
Zip : 74136-1019
Country : US
Telephone Number : 405-378-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2011
Last Update Date : 12/20/2024

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