Bryan, Lea Domenique

Bryan, Lea Domenique is an individual health care provider with primary practice located at 1705 Renaissance Blvd , Edmond OK 73013-3041. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bryan, Lea Domenique can be contacted via phone (405) 844-4978.

Contact Information

Primary practice address
1705 Renaissance Blvd Edmond OK 73013-3041
Phone: (405) 844-4978
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SPO18291 Pennsylvania

Profile Details

NPI number 1073020988
LBN Legal business name Bryan, Lea Domenique
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2018
Last updated Jul 18th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers