Individual
MRS. LESLEY VAUGHN LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2005 E 21ST ST STE 350, TULSA, OK 74114-1403
(918) 764-8516
(918) 764-8514
Mailing address
2005 E 21ST ST STE 350, TULSA, OK 74114-1403
(918) 764-8516
(918) 764-8514
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25842
OK
208600000X
Surgery Physician
25842
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200173290A
—
OK
Enumeration date
06/28/2007
Last updated
08/22/2023
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