Organization
RECIPE FOR REGENERATION
Active
Other names
NeuroGen Medical
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LEWIS DC (OWNER)
(918) 260-4567
Entity
Organization
Contact information
Practice address
10106 E 79TH ST STE B, TULSA, OK 74133-4555
(918) 770-0248
(918) 770-0250
Mailing address
10106 E 79TH ST STE B, TULSA, OK 74133-4555
(918) 770-0248
(918) 770-0250
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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