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1245521889
LISA DIANE MACEK
BROKEN ARROW, OK
NPI
1245521889
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Former Name
LISA DIANE RYAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OK 28585)
Enumeration Date
2011-05-01
Last Update Date
2014-07-30
Business Address
DR. LISA DIANE MACEK M.D.
2950 S ELM PL SUITE 160
BROKEN ARROW, OK 74012-7877
Phone number: 918-449-3750
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Mailing Address
DR. LISA DIANE MACEK M.D.
6600 S YALE AVE SUITE 1400
TULSA, OK 74136-3347
Phone number: 918-488-6001
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