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LIFES CYCLE WOMENS CARE PC NPI 1386738201


NPI Information

NPI: 1386738201
Provider Name: LIFES CYCLE WOMENS CARE PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 37D1038987

Address:
970 NORTHWEST BLVD
ARDMORE, OK
ZIP 73401
Phone: (580) 221-7500
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LIFES CYCLE WOMENS CARE PC is an obstetrics gynecology in Ardmore, OK. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. LIFES CYCLE WOMENS CARE PC NPI is 1386738201. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

970 NORTHWEST BLVD
ARDMORE, OK
ZIP 73401
Phone: (580) 221-7500
Fax: (580) 490-9841

The provider's authorized official is Pamela Lynn Kimbrough .
The authorized official title is President and has the following contact phone number (580) 221-7500.

The CLIA number assigned to this NPI record is 37D1038987 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1400522465MEDICARE PINOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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