Organization
LAKESIDE WOMEN'S CENTER OF OKLAHOMA CITY, LLC
Active
Parent organization
LAKESIDE WOMEN'S CENTER OF OKLAHOMA CITY, LLC
Other names
Lakeside Physician Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKESIDE WOMEN'S CENTER OF OKLAHOMA CITY, LLC
Authorized official
DARLA MCCALLISTER (CFO)
(405) 936-1554
Entity
Organization
Contact information
Practice address
11200 N PORTLAND AVE, OKLAHOMA CITY, OK 73120-5045
(405) 936-1500
(405) 418-0524
Mailing address
PO BOX 8387, BELFAST, ME 04915-8300
(405) 936-1577
(866) 354-4053
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370199001
BCBS
OK
05
—
100745350C
—
OK
Enumeration date
03/10/2011
Last updated
02/24/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us