Organization
GENTLE CARE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAKETA SMITH-HALPINE D.O. (PHYSICIAN)
(918) 764-9220
Entity
Organization
Contact information
Practice address
2526 W EDISON ST, TULSA, OK 74127-6128
(918) 764-9220
Mailing address
2526 W EDISON ST, TULSA, OK 74127-6128
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200401150B
—
OK
Enumeration date
02/01/2023
Last updated
02/01/2023
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