Individual
LUCILLE REDMOND STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9907
(918) 599-1000
Mailing address
6706 S 110TH EAST AVE, TULSA, OK 74133-2609
(918) 859-5447
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
7662
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2021
Last updated
10/13/2022
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