Organization
MASHEK HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA D MASKEK M.D. (MEMBER)
(479) 461-7839
Entity
Organization
Contact information
Practice address
4521 GRACELANN, SHAWNEE, OK 74804-2366
(479) 461-7839
Mailing address
4521 GRACELANN, SHAWNEE, OK 74804-2366
(479) 461-7839
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25902
OK
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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