Whalio Doctors

NPI 1003589706

Lifebridge Medical LLC

Organisation Pain Medicine Physician Oklahoma City, OK

Practice location

Address
1211 N Shartel Ave STE 801, Oklahoma City, OK 73103-2425
Phone
(405) 504-5433
Mailing address
14433 Locust St, Piedmont, OK 73078-8910

Authorised official

Name
Lee Mac Germany
Title
Physician Assistant Ceo
Phone
(405) 504-5433

Registered specialties (5)

Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0000X
Case Manager/Care Coordinator
Other Service Providers Taxonomy 171M00000X
Multi-Specialty Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM1300X
Pain Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QP3300X
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

Registry record

NPI
1003589706
Entity type
Organization
NPI issued
28 Jul 2021
Record last updated
5 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.