| NPI | 1134654627 |
|---|---|
| Doing Business As | LCA TULSA |
| Entity Type | Organization |
| Authorized Contact | WADE ANDREW HUNTSMAN Owner 918-978-3329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other (Licence: 247200000X) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-04-22 |
| Last Update Date | 2023-09-22 |