Doctor Name: | MRS. DINAH BESS L'HEUREUX |
NPI Number: | 1003092446 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 1403 |
Business Practice Address: | 1405 Nw 150th St Edmond, OK - 730131305 |
Business Phone Number: | 4058445222 |
Business Fax Number: | 4058442166 |
Mailing Address: | 1405 Nw 150th St, EDMOND |
State: | OK |
Postal Code: | 730131305 |
Phone Number: | 4058445222 |
Fax Number: | 4058442166 |
NPI Enumeration Date: | 01/16/2008 |
NPI Last Update Date: | 07/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 1403 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |