TISHA BLACKSTAR, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1932794765
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 60269 (OK) |
Frequently Asked Questions
NPI 1932794765 is the National Provider Identifier for TISHA BLACKSTAR, LPN, a Licensed Practical Nurse provider located in Lawton, OK. This NPI was enumerated on March 3, 2021.
TISHA BLACKSTAR, LPN practices at 1515 NE LAWRIE TATUM RD, Lawton, OK 73507.
Quick Facts
- NPI
- 1932794765
- Type
- Individual
- Enumerated
- Mar 3, 2021
- Last Updated
- Mar 3, 2021
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