LDS SPINE PLLC NPI 1316251507

NPI Information

LDS SPINE PLLC is a vascular surgery surgery in Oklahoma City, OK. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. LDS SPINE PLLC NPI is 1316251507. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4050 W MEMORIAL RD
THIRD FLOOR
OKLAHOMA CITY, OK
ZIP 73120-382
Phone: (405) 650-8607

The provider's authorized official is Lenny Stubbs .
The authorized official title is Physician/ Owner and has the following contact phone number (405) 650-8607.

The enumeration date for this NPI number is 7/30/2010 and was last updated on 7/30/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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