Lisa Corstvet Md Pc - Oklahoma City, OK

Lisa Corstvet Md Pc

Specialist in Oklahoma City, Oklahoma

NPI 1235267915

Lisa Corstvet Md Pc is a Specialist based in Oklahoma City, OK. Lisa Corstvet Md Pc practices in Oklahoma City, OK. The NPI Number for Lisa Corstvet Md Pc is 1235267915 and holds a License No. 16541 (Oklahoma).

The current practice location address for Lisa Corstvet Md Pc is 3705 W Memorial Rd, Oklahoma City, OK and can be reached out via phone at 405-775-9350 and via fax at 405-775-9360.

Location: 3705 W Memorial Rd, Oklahoma City, OK, 73134-1512

NPI Number

1235267915

Provider Name

Lisa Corstvet Md Pc

Credential

Provider Entity Type

Organization

Address

3705 W Memorial Rd, Oklahoma City, OK, 73134-1512

Phone Number

405-775-9350

Fax Number

405-775-9360

Provider Enumeration Date

03/02/2007

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
200110200A	05	OK
612216600	01	OK	DOL
DF8730	01	OK	MEDICARE RR

Address

3705 W Memorial Rd

City

Oklahoma City

State

Oklahoma

Zip

73134-1512

Phone Number

405-775-9350

Fax Number

405-775-9360

Address

3705 W Memorial Rd

City

Oklahoma City

State

Oklahoma

Zip

73134-1512

Phone Number

405-775-9350

Fax Number

405-775-9360

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

16541 (Oklahoma)

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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