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Contact Information

LISA E STOUT, APRN-CNM
101 S PARK LN STE 200
ALTUS, OK73521-5731
 Phone: 580-379-6140
 Fax: 580-379-6149
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for LISA E STOUT · (Female)

NPI Number 1952502064
Status Active
Credentials APRN-CNM
Entity Individual
Enumeration date 05/29/2007
Last updated 05/14/2026 - About 3 weeks ago
Sole proprietor 1 No
Identifiers
  • FL License # APRN11047228
  • OK License # 50604
  • OK Medicaid 200924150A
Hospital affiliation(s)
  • JACKSON COUNTY MEMORIAL HOSPITAL - (Acute Care)
    1200 EAST PECAN ST
    ALTUS, OK 73523
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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