Organization · Type 2 NPI
Lifestyle Medical Center, PLLC
General Practice Physician · Tulsa, OK
NPI number
1992214548
Active
Practice location
4505 S Harvard Ave
Tulsa, OK 74135-2905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1992214548
Lifestyle Medical Center, PLLC's National Provider Identifier is 1992214548, issued on Sep 27, 2017. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Tulsa, OK. The record was last updated on Jul 21, 2022.