Individual
CHRISTIAN LUESSENHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1809 E 13TH ST STE 402, TULSA, OK 74104
(918) 579-2300
(918) 579-2309
Mailing address
1809 E 13TH ST STE 402, TULSA, OK 74104-4431
(918) 579-2300
(918) 579-2309
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
19557
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100123170A
—
OK
Enumeration date
01/06/2006
Last updated
08/13/2018
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