Crawford, Lisa L

Crawford, Lisa L is an individual health care provider with primary practice located at 635 W 11Th St , Tulsa OK 74127-9014. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Crawford, Lisa L can be contacted via phone (918) 382-3100.

Contact Information

Primary practice address
635 W 11Th St Tulsa OK 74127-9014
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 3455 Oklahoma

Profile Details

NPI number 1881663664
LBN Legal business name Crawford, Lisa L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Jun 29th, 2008 - about 17 years ago

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 1881663664 NPPES
Oklahoma MEDICAID 100091620B

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