Carrus Lakeside Hospital LLC

NPI #1538921184 in Bristow, Oklahoma

Provider Information

NPI Number: 1538921184
Entity Type: Organization
Organization Name: Carrus Lakeside Hospital LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Jan 29, 2024
Last Updated: Jan 29, 2024

Practice Location

Address: 700 W 7TH AVE STE 6
City: Bristow
State: Oklahoma
ZIP Code: 74010-2302
Phone: (918) 807-5033

Authorized Official

Name: ANBU NACHIMUTHU
Title: CHAIRMAN & CEO
Phone: (903) 870-2745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Emergency Medicine	207P00000X	Primary

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