Individual
DR. LISA GAY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9001 S 101ST EAST AVE, SUITE 230, TULSA, OK 74133-5708
(918) 392-5411
(918) 392-5416
Mailing address
9001 S 101ST EAST AVE, SUITE 230, TULSA, OK 74133-5708
(918) 392-5411
(918) 392-5416
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19042
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100119280A
—
OK
Enumeration date
07/06/2006
Last updated
10/09/2015
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