Individual provider · Type 1 NPI

Lielani M. Tull

Health Service Clinic/Center · Shawnee, OK

NPI number 1932396470 Active

Practice location

2307 S Gordon Cooper Dr
Shawnee, OK 74801-9007

Fax (405) 878-4690

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100XNone listed

Health Service Clinic/Center: Definition to come...

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About NPI 1932396470

Lielani M. Tull's National Provider Identifier is 1932396470, issued on Sep 28, 2007. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Shawnee, OK. The record was last updated on Sep 28, 2007.