Organization
INTEGRAL ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNNE IMHOFF M.D. (SOLE MEMBER)
(918) 728-4504
Entity
Organization
Contact information
Practice address
3029 W MAIN ST, JENKS, OK 74037-3465
(918) 701-2300
Mailing address
512 N FRANKLIN ST STE 200, JENKS, OK 74037-2490
(918) 728-4504
(918) 417-7104
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13167
OK
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095350A
—
OK
Enumeration date
05/23/2016
Last updated
05/12/2026
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