# LP DULLYE MANAGEMENT, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902262421
- **Authorized official:** LARRY J DULLYE DO (PRESIDENT)
- **Authorized official phone:** (918) 585-3372

## Contact information

- **Practice address:** 802 S JACKSON AVE, SUITE 200, TULSA, OK 74127-9015
- **Practice address phone:** (918) 585-3372
- **Practice address fax:** (918) 599-9116
- **Mailing address:** 802 S JACKSON AVE, SUITE 200, TULSA, OK 74127-9015
- **Mailing address phone:** (918) 585-3372
- **Mailing address fax:** (918) 599-9116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | OK | Yes |

## Other

- **Enumeration date:** 01/13/2016
- **Last updated:** 01/13/2016