Vibrant Life Direct Care, Pllc

NPI #1730880212 in Tuttle, Oklahoma

Provider Information

NPI Number
1730880212
Entity Type
Organization
Organization Name
Vibrant Life Direct Care, Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
VIBRANT LIFE DIRECT CARE, PLLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Mar 13, 2023
Last Updated
Mar 13, 2023

Practice Location

Address
2618 E HIGHWAY 37 STE 100
City
Tuttle
ZIP Code
73089-8479
Phone
(405) 376-1381

Authorized Official

Name
DR. LYDIA JEMISON DENNIS, DO
Title
OWNER
Phone
(405) 708-3385

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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