Individual provider · Type 1 NPI

Lisa Diane Bonham, LPN

Licensed Practical Nurse · Ardmore, OK

NPI number 1568856771 Active

Practice location

2530 S Commerce St
Ardmore, OK 73401-5519

Call (580) 223-5070 Map

Fax (580) 226-3569

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL0029404 (OK)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1568856771

Lisa Diane Bonham, LPN's National Provider Identifier is 1568856771, issued on Mar 25, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Ardmore, OK. The record was last updated on Mar 25, 2015.