Individual
MR. LUCAS GARRETT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 NE 13TH ST, SUITE 200, OKLAHOMA CITY, OK 73104-5010
(405) 271-4351
Mailing address
750 NE 13TH ST, SUITE 200, OKLAHOMA CITY, OK 73104-5010
(405) 271-4351
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
32261
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2016
Last updated
06/23/2016
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