Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEAVEN LAX
Active Sole ProprietorHEAVEN LAX is a Specialist healthcare provider located in MUSKOGEE, Oklahoma. NPI 1992355994 is currently active in the NPPES registry. Verify at CMS.
Specialist · MUSKOGEE, OK
Registration Details
- NPI Number
- 1992355994
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2019 (6.8829133503755 yrs)
- Last Updated
- Sep 12, 2019
- License
-
H083745167 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1229 LIVE OAK STMUSKOGEE, OK, 744032542Browse OK providers · Browse ZIP 74403
- Phone
- 9183609913
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in MUSKOGEE, OK
| Name | Credential | NPI |
|---|---|---|
| FRED MICHAEL RUEFER | MD | 1174528806 |
| DR. RICHARD A. REUTLINGER | M.D. | 1538113881 |
| DR. TIMOTHY D. ROBISON | M.D. | 1780638155 |
| JEFFREY M ARNETTE | CPO | 1699802389 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.