Provider Demographics
NPI:1841477064
Name:ROWLAND, LEE ANNA (MRPT)
Entity type:Individual
Prefix:
First Name:LEE
Middle Name:ANNA
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:MRPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ANTLERS
Mailing Address - State:OK
Mailing Address - Zip Code:74523-2087
Mailing Address - Country:US
Mailing Address - Phone:580-298-9818
Mailing Address - Fax:580-298-9822
Practice Address - Street 1:402 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ANTLERS
Practice Address - State:OK
Practice Address - Zip Code:74523-2087
Practice Address - Country:US
Practice Address - Phone:580-298-9818
Practice Address - Fax:580-298-9822
Is Sole Proprietor?:No
Enumeration Date:2008-01-30
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist