Individual
DR. LEWIS A. HASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
940 STANTON L YOUNG BLVD, BMSB 451, OKLAHOMA CITY, OK 73104-5020
(405) 271-5170
(405) 271-2524
Mailing address
1122 NE 13TH ST, ORI236, OKLAHOMA CITY, OK 73117-1039
(405) 271-5170
(405) 271-2524
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
26094
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
26094
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013147
MAINE LICENSE
ME
01
—
26094
OKLAHOMA BOARD OF MEDICAL LICENSURE
OK
Enumeration date
07/14/2006
Last updated
01/23/2017
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