Individual
LANE WOLFHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2548 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 355-0993
Mailing address
320 S PHOENIX AVE, TULSA, OK 74127-8831
(720) 243-1813
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
322125
OK
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
09/29/2023
Last updated
04/21/2026
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