Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist | 108277 | OK |
NPI | 1538439005 |
---|---|
Provider Name | Laytoyia Lavelle Lott |
First Address | Oklahoma City, OK 73109-3242 |
Second Address | Oklahoma City, OK 73103-2400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2011 |
Last Update Date | 01/08/2013 |