Landis, Lesley Vaughn

Landis, Lesley Vaughn is an individual health care provider with primary practice located at 2005 E 21St St Ste 350 , Tulsa OK 74114-1403. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is her primary health care specialty. Landis, Lesley Vaughn can be contacted via phone (918) 764-8516.

Contact Information

Primary practice address
2005 E 21St St Ste 350 Tulsa OK 74114-1403
Phone: (918) 764-8516
Fax: (918) 764-8514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25842 Oklahoma
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 25842 Oklahoma

Profile Details

NPI number 1851598320
LBN Legal business name Landis, Lesley Vaughn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Aug 22nd, 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 1851598320 NPPES
Oklahoma MEDICAID 200173290A

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