Provider Demographics
NPI:1952855454
Name:LAMOOR FAMILY 1ST
Entity Type:Organization
Organization Name:LAMOOR FAMILY 1ST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DELONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:MS,LPC
Authorized Official - Phone:405-535-5835
Mailing Address - Street 1:3224 NE 14TH PL
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117-6210
Mailing Address - Country:US
Mailing Address - Phone:405-535-5835
Mailing Address - Fax:
Practice Address - Street 1:3224 NE 14TH PL
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73117-6210
Practice Address - Country:US
Practice Address - Phone:405-535-5835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAMOOR FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-12
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5069251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health