Individual
DR. LESLEY LAFANE WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1232 E 25TH ST, TULSA, OK 74114-2616
(918) 794-9295
Mailing address
1232 E 25TH ST, TULSA, OK 74114-2616
(918) 794-9295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11322
OK
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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