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LISA L IRBY
408 S MUSTANG RD B YUKON OK 730996754
LISA L IRBY is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1770625113. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 9032155635. The primary specialty is AUDIOLOGIST. The organization is OKLAHOMA HEARING SOLUTIONS. The address is 408 S MUSTANG RD B, , YUKON, OK, 730996754. The zip code is 730996754.
|Nation Provider ID||1770625113|
|PAC ID by PECOS||9032155635|
|Professional Enrollment ID||I20050826000506|
|Name||LISA L IRBY|
|Medical School Name||OTHER|
|All secondary specialties|
|Organization Name||OKLAHOMA HEARING SOLUTIONS|
|Group Practice PAC ID||1456420041|
|Number of Group Practice members||5|
|Address||408 S MUSTANG RD B, , YUKON, OK, 730996754|
|Hospital affiliation LBN|