Organization
ECLUCENTA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH CATHERINE LUCENTA APRN-CNP (OWNER)
(918) 630-5693
Entity
Organization
Contact information
Practice address
10507 E 91ST ST, # 560, TULSA, OK 74133-5589
(918) 994-5580
(918) 994-5585
Mailing address
10507 E. 91ST, # 560, TULSA, OK 74133-5590
(918) 994-5580
(918) 994-5585
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
68962
OK
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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