Lamar, Walter Larry

Lamar, Walter Larry is an individual health care provider with primary practice located at 1923 S Utica Ave , Tulsa OK 74104-6520. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Lamar, Walter Larry can be contacted via phone (918) 744-2553.

Contact Information

Primary practice address
1923 S Utica Ave Tulsa OK 74104-6520
Phone: (918) 744-2553
Fax: (918) 744-3482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 10338 Oklahoma
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 10338 Oklahoma
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 04-28881 Kansas
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 21990 North Carolina

Profile Details

NPI number 1710909189
LBN Legal business name Lamar, Walter Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 3rd, 2018 - about 7 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 1710909189 NPPES
Oklahoma MEDICAID 100255730B
Oklahoma MEDICAID 3208
Oklahoma MEDICAID 100158910A

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