Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifestyle Medicine, Inc

Organization Hematology (Internal Medicine) Physician · NPI 1366823932

Lifestyle Medicine, Inc is a Hematology (Internal Medicine) Physician in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2015.

Licensed in
OK
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2405 E Skelly Dr
Tulsa, OK 74105-6006
Phone: (918) 488-9874
Fax: (918) 587-3437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology (Internal Medicine) Physician (primary) Taxonomy 207RH0000X · Licence 22105 (OK)

Record details

NPI number1366823932
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renae Mayer — Owner · (918) 488-9874
NPI enumeratedJune 9, 2015
Last updated in NPPESJune 9, 2015
Mailing address2405 E Skelly Dr, Tulsa, OK 74105-6006