Individual
MR. TRISTAN LILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S TELEPHONE RD, MOORE, OK 73160-2502
(405) 793-9355
Mailing address
PO BOX 1308, NORMAN, OK 73070-1308
(405) 307-1090
(405) 307-1076
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41467
OK
Other
Enumeration date
04/25/2020
Last updated
01/06/2026
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