person
Lee Richerson Mackin, PA-C
Surgical Physician Assistant in Oklahoma City, Oklahoma
NPI 1235293804

Lee Richerson Mackin is a Surgical Physician Assistant based in Oklahoma City, OK and is specialized in Surgical. Lee Richerson Mackin practices in Oklahoma City, OK and has the professional credentials of PA-C. The NPI Number for Lee Richerson Mackin is 1235293804 and holds a License No. PA-508 (Oklahoma).

The current practice location address for Lee Richerson Mackin is 13100 N Western Ave Ste 303, Oklahoma City, OK and can be reached out via phone at 800-781-1220 and via fax at 888-678-8616.

Location: 13100 N Western Ave Ste 303, Oklahoma City, OK, 73114-1432
person
Provider Profile Details
NPI Number
1235293804
Provider Name
Lee Richerson Mackin
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
13100 N Western Ave Ste 303, Oklahoma City, OK, 73114-1432
Phone Number
800-781-1220
Fax Number
888-678-8616
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
13100 N Western Ave Ste 303
City
State
Zip
73114-1432
Phone Number
800-781-1220
Fax Number
888-678-8616
person
Provider Business Mailing Address Details
Address
13100 N Western Ave Ste 303
City
State
Zip
73114-1432
Phone Number
800-781-1220
Fax Number
888-678-8616
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA-508 (Alabama)
Definition
Definition to come...
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