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LISA DIANE BONHAM LPN
NPI 1568856771
Licensed Practical Nurse in Ardmore, OK

Active since March 25, 2015
2530 S COMMERCE ST, ARDMORE, OK 73401(580) 223-5070(580) 226-3569 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Diane Bonham Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA DIANE BONHAM LPN (NPI 1568856771) is an individual licensed practical nurse in Ardmore, Oklahoma, licensed in Oklahoma (L0029404) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1568856771
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLISA DIANE BONHAMCredential: LPN
Location Address2530 S COMMERCE STArdmore, OK 73401-5519
Mailing Address2530 S Commerce StArdmore, OK 73401-5519 · (580) 223-5070 · Fax (580) 226-3569
Phone(580) 223-5070
Fax(580) 226-3569
Sole ProprietorNo
Enumeration DateMarch 25, 2015
✔ NPI 1568856771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OK · L0029404
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2530 S COMMERCE ST, Ardmore, OK 73401
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARYN DAWN RATELIFF
Peer Specialist
2530 S COMMERCE ST
ARDMORE, OK 73401
Carter County (580) 226-5636
SAWYER WALL
Case Manager/Care Coordinator
2530 S COMMERCE ST
ARDMORE, OK 73401
Carter County (580) 223-5636
MELISSA TIFFIE
Case Manager/Care Coordinator
2530 S COMMERCE ST
ARDMORE, OK 73401
Carter County (580) 223-5636
BRENTON SCOTT WILLIAMS
Counselor
2530 S COMMERCE ST
ARDMORE, OK 73401
Carter County (580) 223-2537
MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA
Clinic/Center (Mental Health (Including Community Mental Health Center))
2530 S COMMERCE ST, BUILDING B
ARDMORE, OK 73401
Carter County (580) 223-5636
SHARON KAY FRAZIER B.A.
Counselor
2530 S COMMERCE ST
ARDMORE, OK 73401
Carter County (580) 223-2537
MARIA ISABEL BROWN
Counselor (Mental Health)
2530 S COMMERCE ST
ARDMORE, OK 73401
Carter County (580) 223-5070
MRS. DEBRA JEAN THOMPSON B.H.R.S
Counselor (Mental Health)
2530 S COMMERCE ST, BUILDING B
ARDMORE, OK 73401
Carter County (580) 223-5636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Bonham's NPI number?

The NPI number for Lisa Bonham is 1568856771. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Where is Lisa Bonham located?

Lisa Bonham practices at 2530 S Commerce St, Ardmore, OK 73401. The listed phone number is (580) 223-5070.

What is Lisa Bonham's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Lisa Bonham was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.