Individual
DR. LESLIE L LISDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
112 NORTH 3RD STREET, OKEMAH, OK 74859-2602
(405) 382-4939
(405) 382-4947
Mailing address
112 NORTH 3RD STREET, OKEMAH, OK 74859-2602
(918) 623-3060
(918) 623-2380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24484
OK
207Q00000X
Family Medicine Physician
E-5170
AR
207Q00000X
Family Medicine Physician
J8643
TX
Other
Enumeration date
05/22/2006
Last updated
02/15/2011
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