Provider Demographics
NPI:1770795890
Name:HUGHES, LOU ANN (DPH)
Entity type:Individual
Prefix:DR
First Name:LOU ANN
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2311 S SOONER ROAD
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-2867
Mailing Address - Country:US
Mailing Address - Phone:405-677-5471
Mailing Address - Fax:
Practice Address - Street 1:2311 S SOONER ROAD
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-2867
Practice Address - Country:US
Practice Address - Phone:405-677-5471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK9298183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist