NPI 1386188704 · live from the CMS NPI Registry
Lisa Gagne, RN
Registered Nurse, Administrator in Oklahoma City, OK. National Provider Identifier 1386188704, active.
NPI record
| NPI | 1386188704 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Administrator 163WA2000X |
| Practice location | 3001 S Douglas Blvd, Building 1094, Oklahoma City, OK 73150 |
| Practice phone | 405-757-9532 |
| Mailing address | 1050 E 2nd St # 136, Edmond, OK 73034 |
| Enumerated | December 5, 2016 |
| Last updated | December 5, 2016 |
| Sole proprietor | Yes |
| Other names | Lisa Wood |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Flight | 163WF0300X | 136790 (MO) |
| Registered Nurse, Administrator primary | 163WA2000X | 136790 (MO) |
| Registered Nurse, College Health | 163WC1400X | 136790 (MO) |
| Registered Nurse, General Practice | 163WG0000X | 136790 (MO) |
| Registered Nurse, Psych/Mental Health | 163WP0808X | 136790 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.