Organization
BRYAN LUCENTA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN ALLEN LUCENTA MD (OWNER)
(918) 994-5580
Entity
Organization
Contact information
Practice address
10505 E 91ST ST, SUITE 202, TULSA, OK 74133-5829
(918) 994-5580
(918) 994-5585
Mailing address
10505 E 91ST ST, SUITE 202, TULSA, OK 74133-5829
(918) 994-5580
(918) 994-5585
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
10/25/2013
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