Individual
OLIVIER CLERK-LAMALICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,MSC
Contact information
Practice address
1800 RENAISSANCE BLVD STE 110, EDMOND, OK 73013-3023
(405) 601-2325
Mailing address
425 N. OKLAHOMA AVE APT 2410, OKLAHOMA CITY, OK 73104
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
266373
MA
Other
Enumeration date
07/26/2016
Last updated
03/17/2018
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