Individual
LICHAO ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
940 STANTON L. YOUNG BLVD, BMS - 451, OKLAHOMA CITY, OK 73104-5042
(405) 271-1515
(405) 271-1001
Mailing address
1122 NE 13TH STREET, ORI 236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
(405) 271-1001
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
25003
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25003
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200180520B
—
OK
Enumeration date
02/09/2007
Last updated
01/23/2017
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