Individual
LINCY VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
140 W 151ST ST S STE 202, GLENPOOL, OK 74033-4530
(918) 478-6005
(918) 321-7415
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7546
OK
208000000X
Pediatrics Physician
BP10056554
TX
208000000X
Pediatrics Physician
S2529
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201049770A
—
OK
Enumeration date
05/03/2016
Last updated
04/22/2022
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