Lisa Corstvet Md Pc

NPI 1235267915 - Specialist - 174400000X

NPI Details
NPI 1235267915
Enumeration Date 03/02/2007
Last Updated 06/05/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CATHY CATHY
Position MANAGER
Phone (405) 775-9350
Fax (405) 775-9360
Practice Location
3705 W MEMORIAL RD
302
OKLAHOMA CITY OK, 73134-1512, US
Phone (405) 775-9350
Fax (405) 775-9360
Business Location
3705 W MEMORIAL RD
302
OKLAHOMA CITY OK, 73134-1512, US
Phone (405) 775-9350
Fax (405) 775-9360
Toxanomy
Taxonomy Code 174400000X
License State Oklahoma
License Number 16541
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According to our database, Lisa Corstvet Md Pc NPI is 1235267915, taxonomy code is 174400000X and license number is 16541, license state is located at Oklahoma. Lisa Corstvet Md Pc physically located at 3705 W Memorial Rd, Oklahoma City OK, 73134-1512. NPI Number 1033115704 has the healthcare provider type.

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1235267915 NPI number is provided on an as is basis without warranty of any kind. 1235267915 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Corstvet Md Pc are for informational purposes only.