Individual
DR. CHRISTOPHER JASON LEPAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 728-6194
(918) 664-2521
Mailing address
1717 S UTICA AVE, STE A, TULSA, OK 74104-5346
(918) 728-6194
(918) 664-2521
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
23678
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200020900A
—
OK
01
—
P00215502
RAILROAD MEDICARE
OK
Enumeration date
11/05/2005
Last updated
04/05/2019
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