LIFESTYLE MEDICINE INC. NPI 1366823932

NPI Information

NPI: 1366823932
Provider Name: LIFESTYLE MEDICINE, INC.
Classification: Internal Medicine - 207RH0000X
Entity Type: Organization

Specialization: Hematology

Address:
2405 E SKELLY DR
TULSA, OK
ZIP 74105
Phone: (918) 488-9874
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LIFESTYLE MEDICINE, INC. is a hematology internal medicine in Tulsa, OK. The provider is an internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. LIFESTYLE MEDICINE, INC. NPI is 1366823932. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2405 E SKELLY DR
TULSA, OK
ZIP 74105-006
Phone: (918) 488-9874
Fax: (918) 587-3437

The provider's authorized official is Renae Mayer .
The authorized official title is Owner and has the following contact phone number (918) 488-9874.

The enumeration date for this NPI number is 6/9/2015 and was last updated on 6/9/2015.

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
1	207RH0000X	Internal Medicine	Hematology	22105	OKLAHOMA	Yes

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: 11/14/2023

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