Organization
RESTORED HEALTH & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRYSTAL P LEWIS D.CC (OWNER)
(918) 712-8616
Entity
Organization
Contact information
Practice address
4329 S PEORIA AVE, SUITE 350, TULSA, OK 74105-3935
(918) 712-8616
(918) 712-8612
Mailing address
4329 S PEORIA AVE, SUITE 350, TULSA, OK 74105-3935
(918) 712-8616
(918) 712-8612
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
3690
OK
Other
Enumeration date
03/29/2007
Last updated
01/12/2010
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