LDS SPINE PLLC NPI 1316251507

NPI Information

  • NPI: 1316251507
  • Provider Name: LDS SPINE PLLC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 4050 W MEMORIAL RD
    THIRD FLOOR
    OKLAHOMA CITY, OK
    ZIP 73120
  • Phone: (405) 650-8607

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery21272OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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