Individual
LEE VANDERLUGT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2222 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 224-8111
(405) 222-5359
Mailing address
PO BOX 1069, CHICKASHA, OK 73023-1069
(405) 224-8111
(405) 222-5359
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3414
OK
Other
Enumeration date
11/21/2005
Last updated
07/08/2007
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