Lisa Carrasco

NPI 1073917167 · on the registry since 2014 · sole proprietor

Practice

Address: 5555 E 71st St
Suite 7120
Tulsa, OK 74136
Phone: (918) 367-6960
Organisation at this address: Kct Health Care Pllc
Legacy Medical Supply
J Clark Bundren, M.D., Pc
Michael L Martin Ph D Pllc
Rheumatology Associates Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-10-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma