Whalio Doctors

NPI 1053395327

Lisa E Hart, DO

Practitioner Pediatrics Physician Jenks, OK

Practice location

Address
715 W Main St STE S, Jenks, OK 74037-3553
Phone
(918) 745-0501
Fax
(918) 747-9778

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 4161 (OK)

Registry record

NPI
1053395327
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 Dec 2005
Record last updated
9 Jan 2020

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.