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NPI Code Detail

MEDICARE: MRS. KATHERINE GRACE LAMER M.S.

MEDICARE: MRS. KATHERINE GRACE LAMER M.S.
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1851564314
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHERINE GRACE LAMER M.S.
Provider Business Mailing Address
First Line : 17116 HOLLY BURN CIR
Second Line :
City : EDMOND
State : OK
Zip : 73012-7402
Country : US
Telephone Number : 405-216-3947
Fax Number :
Provider Business Practice Location Address
First Line : 420 SW 10TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-5610
Country : US
Telephone Number : 405-236-0538
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2008
Last Update Date : 04/04/2008

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