Lifestyle Medical Center, Pllc

NPI #1992214548 in Tulsa, Oklahoma

Provider Information

NPI Number: 1992214548
Entity Type: Organization
Organization Name: Lifestyle Medical Center, Pllc
Primary Specialty: General Practice
Enumeration Date: Sep 27, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 4505 S HARVARD AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74135-2905
Phone: (918) 747-5555

Authorized Official

Name: GERRY D LANGSTON
Title: PRESIDENT
Phone: (918) 747-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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