Susan L Lavictoire in Oklahoma City - Physician Assistant

Susan L Lavictoire - NPI 1659349900

Susan L Lavictoire is a Physician Assistant in Oklahoma City, Oklahoma. Susan L Lavictoire practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Susan L Lavictoire is 1659349900. The last update date is 2007-07-08.

Susan L Lavictoire's current location address is 940 Ne 13th St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4052715789. The mailing address for Susan L Lavictoire is 940 Ne 13th St, Oklahoma City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan L Lavictoire
Address 940 Ne 13th St, Oklahoma City, Oklahoma
Phone Number 4052715789
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1659349900
Provider Enumeration Date 2006-03-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 940 Ne 13th St
City Oklahoma City
State Oklahoma (OK)
Post Code 731045008
Phone Number 4052715789
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1172
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Susan L Lavictoire

What is the unique 10-digit identifier code assigned to Susan L Lavictoire by the Centers for Medicare & Medicaid Services?

The Susan L Lavictoire has been issued the NPI (National Provider Identifier) 1659349900 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Susan L Lavictoire is geographically located?

The Susan L Lavictoire is physically situated at the following location: 940 Ne 13Th St, Oklahoma City, OK, 731045008.

What is the Susan L Lavictoire's area of specialization and corresponding taxonomy classification?

The Susan L Lavictoire's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1659349900 to Susan L Lavictoire?

The Susan L Lavictoire received its 1659349900 assignment from the Centers for Medicare & Medicaid Services on 2006-03-11.

As of what date were the details related to Susan L Lavictoire most recently updated or revised?

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

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