Individual
MARCLAND LESLEY LUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
702 NE 37TH ST, OKLAHOMA CITY, OK 73105-7210
(405) 525-3024
(405) 525-3027
Mailing address
226 NE 14TH ST, OKLAHOMA CITY, OK 73104-1206
(405) 740-7784
(405) 319-9374
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2179
OK
Other
Enumeration date
05/09/2007
Last updated
07/09/2007
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