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Organization

LUSSIER PSYCHIATRIC CLINIC

Active
Other names
LUSSIER PSYCHIATRIC CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
CARISSA STEPHANS (BILLING SPECIALIST)
(918) 200-1742
Entity
Organization

Contact information

Practice address
5525 E 51ST ST, SUITE 310, TULSA, OK 74135-7461
(918) 200-1742
(866) 580-7221
Mailing address
5525 E 51ST ST, SUITE 310, TULSA, OK 74135-7461
(918) 200-1742
(866) 580-7221

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25858
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200608270 A
OK
Enumeration date
08/06/2015
Last updated
12/02/2015
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