Cavanagh, Lamont Edward

Cavanagh, Lamont Edward is an individual health care provider with primary practice located at 1111 S Saint Louis Ave , Tulsa OK 74120-5440. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Cavanagh, Lamont Edward can be contacted via phone (918) 619-4400.

Contact Information

Primary practice address
1111 S Saint Louis Ave Tulsa OK 74120-5440
Phone: (918) 619-4400
Fax: (918) 619-4639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 18457 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18457 Oklahoma

Profile Details

NPI number 1336111210
LBN Legal business name Cavanagh, Lamont Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jun 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336111210 NPPES
Oklahoma MEDICAID 100137310C

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