Life Restoration Place Llc | |
1211 N Shartel Ave Ste 801 Oklahoma City OK 73103-2425 | |
(405) 504-5433 | |
Not Available |
Full Name | Life Restoration Place Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 1211 N Shartel Ave Ste 801, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Lee Germany (PHYSICIAN ASSISTANT) |
Authorized Official Contact | 4054887543 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Life Restoration Place Llc 14433 Locust St Piedmont OK 73078-8910 Ph: (405) 488-7543 | Life Restoration Place Llc 1211 N Shartel Ave Ste 801 Oklahoma City OK 73103-2425 Ph: (405) 504-5433 |
NPI Number | 1225702996 |
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Provider Enumeration Date | 08/05/2021 |
Last Update Date | 08/05/2021 |
Certification Date | 08/05/2021 |
Identifier | Type | State | Issuer |
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1225702996 | NPI | - | NPPES |
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