| Lpfd Pllc | |
|
5319 S Lewis Ave Ste 222 Tulsa OK 74105-6543 | |
| (918) 742-1987 | |
| (918) 744-0761 |
| Full Name | Lpfd Pllc |
|---|---|
| Speciality | Dentist |
| Location | 5319 S Lewis Ave Ste 222, Tulsa, Oklahoma |
| Authorized Official Name and Position | Justin Michael Young (OWNER) |
| Authorized Official Contact | 9187421987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lpfd Pllc 5319 S Lewis Ave Ste 222 Tulsa OK 74105-6543 Ph: (918) 742-1987 | Lpfd Pllc 5319 S Lewis Ave Ste 222 Tulsa OK 74105-6543 Ph: (918) 742-1987 |
| NPI Number | 1619563525 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 12/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619563525 | NPI | - | NPPES |
| 1457709438 | Other | OK | NPI NUMBERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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