Individual provider · Type 1 NPI

Renee Lynn Garuccio

Student in an Organized Health Care Education/Training Program · Shawnee, OK

NPI number 1073159281 Active

Practice location

101 N Union Ave
Shawnee, OK 74801-7067

Mailing address

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5108

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073159281

Renee Lynn Garuccio's National Provider Identifier is 1073159281, issued on Nov 22, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Shawnee, OK. The record was last updated on Nov 22, 2019.