Individual
RAEANNE LAMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2235 E 61ST ST STE B, TULSA, OK 74136-0102
(539) 476-9802
Mailing address
2235 E 61ST ST STE B, TULSA, OK 74136-0102
(539) 476-9802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3967
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100768880I
—
OK
05
—
200001830A
—
OK
Enumeration date
08/12/2005
Last updated
11/12/2024
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