Individual
DR. CHARLES LUNN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 NE 23RD ST, OKLAHOMA CITY, OK 73111-3324
(405) 280-5550
(405) 280-5780
Mailing address
PO BOX 659506, SECTION 4142, SAN ANTONIO, TX 78265-9506
(405) 280-5550
(405) 280-5780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16697
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100195290A
—
OK
Enumeration date
02/27/2006
Last updated
11/20/2019
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