Provider Demographics
NPI:1952762403
Name:BOND, LEE ANN
Entity type:Individual
Prefix:MRS
First Name:LEE
Middle Name:ANN
Last Name:BOND
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:LEE
Other - Middle Name:ANN
Other - Last Name:FEATHERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 S.W. PENN AVE
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74003
Mailing Address - Country:US
Mailing Address - Phone:918-337-8080
Mailing Address - Fax:918-337-8099
Practice Address - Street 1:700 S.W. PENN AVE
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74003
Practice Address - Country:US
Practice Address - Phone:918-337-8080
Practice Address - Fax:918-337-8099
Is Sole Proprietor?:No
Enumeration Date:2016-03-11
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator