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Organization

COLORECTAL SPECIALISTS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAUNA LORENZO-RIVERO MD (DIRECTOR)
(405) 210-5051
Entity
Organization

Contact information

Practice address
L1305 W CHEROKEE ST, LINDSAY, OK 73052-0888
(405) 756-1404
Mailing address
4325 PRESERVE PL, EDMOND, OK 73034-9267
(405) 210-5051

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24340
OK

Other

Enumeration date
06/14/2007
Last updated
08/22/2020
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