Individual
LORI JESSICA WHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6161 S YALE AVE, ER DEPT, TULSA, OK 74136-1902
(918) 494-1817
(405) 749-4561
Mailing address
PO BOX 22063, DEPT 0491, TULSA, OK 74121-2063
(405) 751-4664
(405) 749-4561
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
23535
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200013790A
—
OK
01
—
P00121899
RR MEDICARE
OK
Enumeration date
04/27/2006
Last updated
04/24/2008
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