Individual
LACY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11200 N PORTLAND AVE, OKLAHOMA CITY, OK 73120-5045
(405) 936-1000
(405) 936-1001
Mailing address
11200 N PORTLAND AVE, OKLAHOMA CITY, OK 73120-5045
(405) 936-1000
(405) 936-1001
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31802
OK
207V00000X
Obstetrics & Gynecology Physician
MT199834
PA
Other
Enumeration date
07/04/2011
Last updated
09/29/2017
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