Individual
DR. DIRK L LENABURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MBA
Contact information
Practice address
1401 N 4TH AVE STE 107, PURCELL, OK 73080-1806
(405) 527-5400
Mailing address
2525 E WALNUT ST, TECUMSEH, OK 74873-9180
(918) 809-7979
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7101
OK
207Q00000X
Family Medicine Physician
UO5389
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UO5389
FLORIDA DEPT OF HEALTH BOARD OF OSTEOPATHIC MEDICINE
FL
Enumeration date
03/28/2017
Last updated
08/20/2020
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