Individual
LYLE THAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4720 RICHMOND SQ, OKLAHOMA CITY, OK 73118-2061
(480) 549-3065
Mailing address
2344 NW 198TH ST, EDMOND, OK 73012-5221
(480) 549-3065
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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