Individual
MRS. HATTIE MAE WHITESIDE-LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 N YUKON AVE, TULSA, OK 74127-5224
(918) 406-7766
(918) 582-1663
Mailing address
613 N YUKON AVE, TULSA, OK 74127-5224
(918) 406-7766
(918) 582-1663
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/17/2013
Last updated
05/03/2026
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