Individual
LUCAS RAWLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 230-9000
Mailing address
18817 GROVE PKWY, EDMOND, OK 73012-4499
(405) 513-4211
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
R0137449
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
224707
OK
Other
Enumeration date
06/16/2025
Last updated
07/15/2025
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