Male or Other

Lamont E. Cavanagh MD

Sports Medicine (Family Medicine) Physician in Tulsa, OK(View on Map)

Full Name

Lamont Edward Cavanagh MD

NPI Number

1336111210

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/03/2006

Specialties

(Taxonomies)

Code

207QS0010X
207Q00000X

Primary Taxonomy

Yes
No

Licenses

State

Oklahoma

License Number

18457

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 268838
1111 S SAINT LOUIS AVE

City

Oklahoma City
Tulsa

State

OK
OK

Postal Code

73126-8838
74120-5440

Country

US
US

Telephone Number

(918) 619-4400
(918) 619-4400

Identifiers

Identifier

100137310C

Identifier State

OK

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/27/2023

Provider Address

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