Provider Demographics
NPI:1669657342
Name:PICKLE, CRISTINA LEANN (RN, IBCLC, RLC)
Entity Type:Individual
Prefix:MRS
First Name:CRISTINA
Middle Name:LEANN
Last Name:PICKLE
Suffix:
Gender:F
Credentials:RN, IBCLC, RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10022 S 86TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5599
Mailing Address - Country:US
Mailing Address - Phone:918-605-2032
Mailing Address - Fax:
Practice Address - Street 1:10011 S YALE AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-6041
Practice Address - Country:US
Practice Address - Phone:918-293-2992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-31
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist