Individual
BRYAN ALLEN LUCENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(918) 687-6002
(918) 687-6216
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
15220
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090100A
—
OK
Enumeration date
08/31/2006
Last updated
10/15/2024
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