Dr Fallon Lacheria Mccormick, DC | |
7171 S Braden Ave, Tulsa, OK 74136-6302 | |
(918) 960-0826 | |
Not Available |
Full Name | Dr Fallon Lacheria Mccormick |
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Gender | Female |
Speciality | Chiropractor |
Location | 7171 S Braden Ave, Tulsa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1447768544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 4219 (Oklahoma) | Primary |
Provider Name | Lumos Innate Centered Chiropractic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184170060 PECOS PAC ID: 5092079087 Enrollment ID: O20180426002748 |
Mailing Address | Practice Location Address |
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Dr Fallon Lacheria Mccormick, DC 7171 S Braden Ave, Tulsa, OK 74136-6302 Ph: (918) 960-0826 | Dr Fallon Lacheria Mccormick, DC 7171 S Braden Ave, Tulsa, OK 74136-6302 Ph: (918) 960-0826 |
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Dr. Kim W Hester, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6922 S Lewis, Tulsa, OK 74136 Phone: 918-551-6567 Fax: 918-508-7403 | |
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