Individual
ADDISON LORRAINE NAKASHIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(918) 633-5560
Mailing address
13526 N 130TH EAST AVE, COLLINSVILLE, OK 74021-4492
(918) 633-5560
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9154
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/26/2022
Last updated
03/09/2026
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