Individual
LANCE CARLTON KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6600 S YALE AVE, SUITE 950, TULSA, OK 74136-3347
(918) 488-6670
Mailing address
6600 S YALE AVE, STE 1400, TULSA, OK 74136-3310
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14148
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100255190B
—
OK
Enumeration date
07/14/2005
Last updated
09/23/2013
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