Individual
MRS. LORI D RULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
1516 S YORKTOWN PL, TULSA, OK 74104-4918
(918) 712-8888
(918) 712-8892
Mailing address
1516 S YORKTOWN PL, TULSA, OK 74104-4918
(918) 712-8888
(918) 712-8892
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
658
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100114540B
—
OK
Enumeration date
11/21/2005
Last updated
02/19/2019
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