Organization
VIBRANT LIFE DIRECT CARE, PLLC
Active
Parent organization
VIBRANT LIFE DIRECT CARE, PLLC
Other names
Vibrant Life Direct Care Tuttle
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIBRANT LIFE DIRECT CARE, PLLC
Authorized official
DR. LYDIA JEMISON DENNIS DO (OWNER)
(405) 708-3385
Entity
Organization
Contact information
Practice address
2618 E HIGHWAY 37 STE 100, TUTTLE, OK 73089-8479
(405) 376-1381
(800) 488-3294
Mailing address
2618 E HIGHWAY 37 STE 100, TUTTLE, OK 73089-8479
(405) 376-1381
(800) 488-3294
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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