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Search › Oklahoma › 104100000X

Lisa Wiedenhaupt

NPI 1437516549 · on the registry since 2016

Practice

Address
3227 E 31st St
Suite 200
Tulsa, OK 74105
Phone
(918) 749-4600
Fax
(918) 749-7144
Organisation at this address
Oto-Systems
Dillon International Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-24

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