Jernigan, Lara

Jernigan, Lara is an sole proprietor health care provider with primary practice located at 205 W Chickasha Ave Suite 1, Chickasha OK 73018-2690. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jernigan, Lara can be contacted via phone (405) 222-3018.

Contact Information

Primary practice address
205 W Chickasha Ave Suite 1 Chickasha OK 73018-2690
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Oklahoma

Profile Details

NPI number 1114393436
LBN Legal business name Jernigan, Lara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2015
Last updated Aug 20th, 2015 - about 11 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.

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