Organization
LJT ESQUIRE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS JERMONE TAYLOR (CEO)
(918) 936-0366
Entity
Organization
Contact information
Practice address
3211 E 32ND ST N, TULSA, OK 74110-1604
(918) 936-0366
Mailing address
3211 E 32ND ST N, TULSA, OK 74110-1604
(918) 936-0366
(918) 764-6536
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/17/2011
Last updated
02/27/2017
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