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Individual

DR. MILLARD LAFAYETTE HENRY III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4200 S DOUGLAS AVE STE 200, OKLAHOMA CITY, OK 73109-3215
(405) 636-7499
(405) 636-7809
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 636-7499
(405) 636-7809

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
32424
OK

Other

Enumeration date
06/15/2016
Last updated
07/27/2021
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