Individual
SARA KATHLEEN LUCIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 392-4683
(918) 392-4693
Mailing address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 392-4683
(918) 392-4693
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
81312
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
81312
OK
Other
Enumeration date
10/19/2011
Last updated
10/18/2016
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