Organization
LANCE E HARDISON DPM PC
Active
Other names
Michael K Wilson DPM Inc (other name)
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE E HARDISON DPM (OWNER OF CORP)
(405) 751-6153
Entity
Organization
Contact information
Practice address
1126 S.W. 89, OKLAHOMA CITY, OK 73139-9104
(405) 692-7114
(405) 692-2425
Mailing address
1126 S.W. 89, OKLAHOMA CITY, OK 73139-9104
(405) 692-7114
(405) 692-2425
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
151
OK
Other
Enumeration date
11/07/2006
Last updated
11/09/2022
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