Waterman, Lisa Renee

Waterman, Lisa Renee is an individual health care provider with primary practice located at 500 E Robinson St Ste 2400, Norman OK 73071-6671. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Waterman, Lisa Renee can be contacted via phone (405) 360-1264.

Contact Information

Primary practice address
500 E Robinson St Ste 2400 Norman OK 73071-6671
Phone: (405) 360-1264
Fax: (405) 321-8683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 3499 Oklahoma

Profile Details

NPI number 1467455808
LBN Legal business name Waterman, Lisa Renee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Aug 28th, 2008 - about 16 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 1467455808 NPPES
Oklahoma MEDICAID 100148640A

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