LEXUS TATE SPRING

TULSA, OK
NPI1134977010
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  217813)
Additional Taxonomies163W00000X Registered Nurse
(Licence: OK  R0122081)
Enumeration Date2024-05-07
Last Update Date2024-05-23
Business Address
LEXUS TATE SPRING CRNA
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number: 918-494-0612
Mailing Address
LEXUS TATE SPRING CRNA
6839 S CANTON AVE
TULSA, OK 74136-3402
Phone number: 918-494-0612