Organization
LDS SPINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LENNY STUBBS M.D. (PHYSICIAN/ OWNER)
(405) 650-8607
Entity
Organization
Contact information
Practice address
4050 W MEMORIAL RD, THIRD FLOOR, OKLAHOMA CITY, OK 73120-8382
(405) 650-8607
Mailing address
4050 W MEMORIAL RD, THIRD FLOOR, OKLAHOMA CITY, OK 73120-8382
(405) 650-8607
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
21272
OK
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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