Individual
DR. LESLEY V VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D,O.
Contact information
Practice address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 582-1980
(918) 561-8397
Mailing address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 582-1980
(918) 561-8397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4467
OK
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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