Individual
WALTER LARRY LAMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-2553
(918) 744-3482
Mailing address
4142 S MINGO RD, TULSA, OK 74146-3632
(918) 744-2553
(918) 744-3482
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
10338
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
04-28881
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
10338
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
21990
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100158910A
—
KS
05
—
100255730B
—
OK
05
—
3208
—
OK
Enumeration date
07/24/2006
Last updated
07/03/2018
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