Dietz, Lisa Diane

Dietz, Lisa Diane is an sole proprietor health care provider with primary practice located at 222 E Grand Ave Suite 404, Ponca City OK 74601-4316. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Dietz, Lisa Diane can be contacted via phone (580) 763-2256.

Contact Information

Primary practice address
222 E Grand Ave Suite 404 Ponca City OK 74601-4316
Phone: (580) 763-2256
Fax: (580) 762-6511
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1642 Oklahoma

Profile Details

NPI number 1952438293
LBN Legal business name Dietz, Lisa Diane
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Jul 8th, 2007 - about 17 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