Individual
LANCE HARDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1126 SW 89TH ST, OKLAHOMA CITY, OK 73139
(405) 323-2147
Mailing address
1126 SW 89TH ST, OKLAHOMA CITY, OK 73139-9104
(405) 323-2147
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
295
OK
Other
Enumeration date
07/01/2009
Last updated
06/25/2018
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