37D0920249 CLIA NUMBER - LORRAINE T WILSON, MD, INC

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Laboratory Demographics

CLIA Number: 37D0920249

Facility Name: LORRAINE T WILSON, MD, INC

Facility Address:
13901 MCAULEY BLVD, SUITE 100
OKLAHOMA CITY, OK
ZIP 73134
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Facility Phone Number: 405 748-5800

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1720180029

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	37D0920249
LAB Type	Physician Office
Facility Name	LORRAINE T WILSON, MD, INC
Street	13901 MCAULEY BLVD, SUITE 100
City	OKLAHOMA CITY
State	OK
ZIP	73134
Phone	405 748-5800
CertificateType	3
CertificateEffectiveDate	9/26/2022
CertificateExpirationDate	9/25/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024