# LANCE E HARDISON DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michael K Wilson DPM Inc (other name)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639248149
- **Authorized official:** LANCE E HARDISON DPM (OWNER OF CORP)
- **Authorized official phone:** (405) 751-6153

## Contact information

- **Practice address:** 1126 S.W. 89, OKLAHOMA CITY, OK 73139-9104
- **Practice address phone:** (405) 692-7114
- **Practice address fax:** (405) 692-2425
- **Mailing address:** 1126 S.W. 89, OKLAHOMA CITY, OK 73139-9104
- **Mailing address phone:** (405) 692-7114
- **Mailing address fax:** (405) 692-2425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 151 | OK | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 11/09/2022