Individual
DR. LISA MYKELAN HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5801 E 41ST ST STE 900, TULSA, OK 74135-5631
(918) 747-4975
(918) 743-8552
Mailing address
PO BOX 4930, TULSA, OK 74159-0930
(918) 747-4975
(918) 743-8552
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4521
OK
2085R0202X
Diagnostic Radiology Physician
C7-0003018
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200281630A
—
OK
01
—
P00849943
RAILROAD MEDICARE
—
Enumeration date
03/12/2007
Last updated
08/06/2024
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