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NPI Code Detail

MEDICARE: MRS. LANISHA HINES

MEDICARE: MRS. LANISHA HINES
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

Other Identifiers

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

General Provider Information

NPI Number : 1972758191
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LANISHA HINES
Provider Business Mailing Address
First Line : 201 NE 50TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73105-1811
Country : US
Telephone Number : 405-235-7537
Fax Number : 405-528-5754
Provider Business Practice Location Address
First Line : 201 NE 50TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73105-1811
Country : US
Telephone Number : 405-235-7537
Fax Number : 405-528-5754
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2008
Last Update Date : 03/19/2013

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Directions to “ MRS. LANISHA HINES ” Practice Location

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