Organization
GL MD ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL LANE MD (MANAGING MEMBER)
(254) 258-7272
Entity
Organization
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(254) 258-7272
Mailing address
1503 N MAPLE AVE, SAND SPRINGS, OK 74063-8139
(254) 258-7272
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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