person
Mr. Tristan Lilley, MD
Student in an Organized Health Care Education/Training Program in Oklahoma City, Oklahoma
NPI 1376163758

Tristan Lilley is a Student in an Organized Health Care Education/Training Program based in Oklahoma City, OK. Tristan Lilley practices in Oklahoma City, OK and has the professional credentials of MD. The NPI Number for Tristan Lilley is 1376163758 and holds a License No. (Oklahoma).

The current practice location address for Tristan Lilley is 407 Nw 32Nd St, Oklahoma City, OK and can be reached out via phone at 580-916-2852.

Location: 407 Nw 32Nd St, Oklahoma City, OK, 73118-8612
person
Provider Profile Details
NPI Number
1376163758
Provider Name
Tristan Lilley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
407 Nw 32Nd St, Oklahoma City, OK, 73118-8612
Phone Number
580-916-2852
Fax Number
Provider Enumeration Date
04/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
407 Nw 32Nd St
City
State
Zip
73118-8612
Phone Number
580-916-2852
Fax Number
person
Provider Business Mailing Address Details
Address
407 Nw 32Nd St
City
State
Zip
73118-8612
Phone Number
580-916-2852
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Oklahoma)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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