Provider Demographics
NPI:1447504592
Name:MCGEE, LATONYA L
Entity type:Individual
Prefix:MRS
First Name:LATONYA
Middle Name:L
Last Name:MCGEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1917 S 82ND EAST AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74112-7501
Mailing Address - Country:US
Mailing Address - Phone:580-284-5107
Mailing Address - Fax:
Practice Address - Street 1:1917 S 82ND EAST AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74112-7501
Practice Address - Country:US
Practice Address - Phone:580-284-5107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-27
Last Update Date:2012-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor