Lisa Diane Bonham, LPN - Licensed Practical Nurse in Ardmore, OK

Lisa Diane Bonham, LPN is a Licensed Practical Nurse based in Ardmore, Oklahoma. Lisa Diane Bonham is licensed to practice in Oklahoma (license number L0029404) and her current practice location is 2530 S Commerce St, Ardmore, Oklahoma. She can be reached at her office (for appointments etc.) via phone at (580) 223-5070.

NPI number for Lisa Diane Bonham is 1568856771 and her current mailing address is 2530 S Commerce St, Ardmore, Oklahoma. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568856771.

Contact Information

Lisa Diane Bonham, LPN
2530 S Commerce St,
Ardmore, OK 73401-5519
(580) 223-5070
(580) 226-3569



Provider's Profile

Full NameLisa Diane Bonham
GenderFemale
SpecialityLicensed Practical Nurse
Location2530 S Commerce St, Ardmore, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568856771
  • Provider Enumeration Date: 03/25/2015
  • Last Update Date: 03/25/2015

Medical Identifiers

Medical identifiers for Lisa Diane Bonham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568856771NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse L0029404 (Oklahoma)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Diane Bonham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Diane Bonham, LPN
2530 S Commerce St,
Ardmore, OK 73401-5519

Ph: (580) 223-5070
Lisa Diane Bonham, LPN
2530 S Commerce St,
Ardmore, OK 73401-5519

Ph: (580) 223-5070

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› Verified 5 days ago


Licensed Practical Nurse Nurses in Ardmore, OK

Laura Johnson, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1001 15th Ave Nw, Ardmore, OK 73401
Phone: 580-223-3737    Fax: 580-226-5679
Mrs. Jessica Laurynn Higgins, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2530 S Commerce St, Ardmore, OK 73401
Phone: 580-223-5070    
Mary Jennifer Chaney, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2530 S Commerce St Bldg B, Ardmore, OK 73401
Phone: 580-223-5636    
Ashley Wilson,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1219 K St Nw Ste 2, Ardmore, OK 73401
Phone: 580-319-7305    Fax: 580-319-5349
Shaquanna Wright,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2530 S Commerce St, Ardmore, OK 73401
Phone: 580-223-5636    Fax: 580-226-6727
Jodi Coleman,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2530 S Commerce St, Ardmore, OK 73401
Phone: 580-223-5636    

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