Individual
GIDEON JOEL LAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(918) 582-1972
Mailing address
4034 S 212TH EAST AVE, BROKEN ARROW, OK 74014-8720
(717) 538-0583
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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