Provider Demographics
NPI:1013190529
Name:COX, DEBRA J (IBCLC,RLC)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:J
Last Name:COX
Suffix:
Gender:F
Credentials:IBCLC,RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19200 COUNTY ROAD 3558
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-0175
Mailing Address - Country:US
Mailing Address - Phone:580-399-8045
Mailing Address - Fax:580-332-4082
Practice Address - Street 1:19200 COUNTY ROAD 3558
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-0175
Practice Address - Country:US
Practice Address - Phone:580-399-8045
Practice Address - Fax:580-332-4082
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist