Lanette R Decelle in Tulsa - Pediatrics

Lanette R Decelle - NPI 1891881975

Lanette R Decelle is a Pediatrics in Tulsa, Oklahoma. Lanette R Decelle practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lanette R Decelle is 1891881975. The last update date is 2007-07-08.

Lanette R Decelle's current location address is 4157 S Harvard, Tulsa, Oklahoma. You can contact this provider via phone number 9187127868 and fax number 9187492901. The mailing address for Lanette R Decelle is 4157 S Harvard, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Lanette R Decelle
Address 4157 S Harvard, Tulsa, Oklahoma
Phone Number 9187127868
Fax Number 9187492901
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1891881975
Provider Enumeration Date 2006-10-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4157 S Harvard
City Tulsa
State Oklahoma (OK)
Post Code 74135
Phone Number 9187127868
Fax Number 9187492901

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Licence No 1780
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development,

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FAQs about Lanette R Decelle

What is the unique identifier code issued to Lanette R Decelle by the Centers for Medicare & Medicaid Services (CMS)?

The Lanette R Decelle has been assigned the NPI (National Provider Identifier) 1891881975. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Lanette R Decelle is located?

The Lanette R Decelle is situated at the following address: 4157 S Harvard, Tulsa, OK, 74135.

What is Lanette R Decelle's area of expertise and its corresponding taxonomy classification?

The Lanette R Decelle's field of specialization is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their areas of practice.

On what date did the Lanette R Decelle receive the assignment of its 1891881975 from the Centers for Medicare & Medicaid Services?

The Lanette R Decelle was issued its 1891881975 by the Centers for Medicare & Medicaid Services on 2006-10-05.

As of what date were the details related to Lanette R Decelle most recently updated or revised?

The information pertaining to Lanette R Decelle, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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