Individual
LUCAS R MASSOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4142 S MINGO RD, TULSA, OK 74146-3632
(918) 417-6400
(918) 770-4450
Mailing address
726 REFLECTION WAY, MOUNTAIN VIEW, CA 94043-2585
(918) 549-0083
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
41303
OK
Other
Enumeration date
06/08/2016
Last updated
06/23/2025
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