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Contact Information

LDS SPINE PLLC
4050 W MEMORIAL RD
THIRD FLOOR
OKLAHOMA CITY, OK73120-8382
 Phone: 405-650-8607
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for LDS SPINE PLLC

NPI Number 1316251507
LBN Legal business name LDS SPINE PLLC
Authorized official LENNY STUBBS - (PHYSICIAN/ OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2010
Last updated 07/30/2010 - About 16 years ago
Identifiers
OK License # 21272
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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