Laycee Collins

Individual provider Active NPI Case Manager/Care Coordinator · Stigler, OK

NPI 1164064424 · NPPES record last updated Oct 8, 2019

Key facts

NPI
1164064424
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1505 E Main St
Stigler, OK 74462-2913
Phone
(918) 967-3368
Fax
(918) 967-3351
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1505 E Main St
Stigler, OK 74462-2913

Mailing address

PO Box 179
Stigler, OK 74462-0179
Phone (918) 967-3368

Other providers in Stigler, OK

All providers in Stigler, OK · Case Manager/Care Coordinator in Oklahoma

Sources for this page

Verify at the official NPI Registry.