Individual
MARQUEL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5311 E 47TH PL APT 6M, TULSA, OK 74135-6638
(678) 548-2574
Mailing address
5311 E 47TH PL APT 6M, TULSA, OK 74135-6638
(678) 548-2574
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
37D2246279
OK
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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