Provider Demographics
NPI:1326051988
Name:HOWELL-WHITE, LURA ANN (LBP)
Entity Type:Individual
Prefix:
First Name:LURA
Middle Name:ANN
Last Name:HOWELL-WHITE
Suffix:
Gender:F
Credentials:LBP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 SW 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-2420
Mailing Address - Country:US
Mailing Address - Phone:405-703-0393
Mailing Address - Fax:
Practice Address - Street 1:519 W DELAWARE ST
Practice Address - Street 2:
Practice Address - City:PURCELL
Practice Address - State:OK
Practice Address - Zip Code:73080-5242
Practice Address - Country:US
Practice Address - Phone:405-527-8380
Practice Address - Fax:405-527-4549
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK0274101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor