Individual
MIKHAIL ANDREEVICH LOMIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 272-6406
(405) 272-6075
Mailing address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 272-6406
(405) 272-6075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5656
OK
207Q00000X
Family Medicine Physician
OP61286225
WA
Other
Enumeration date
03/28/2013
Last updated
03/27/2023
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