Southern Oklahoma Lifestyles and Preventative Medicine
Southern Oklahoma Lifestyles and Preventative Medicine is a Public Health & General Preventive Medicine Physician in Ardmore, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2017.
- Licensed in
- OK
- In the registry since
- 2017
Practice location Address checks out
731 12th Ave NW Ste 201Ardmore, OK 73401-5764
Phone: (405) 703-3614
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Public Health & General Preventive Medicine Physician (primary) | Taxonomy 2083P0901X (OK) |
|---|
Record details
| NPI number | 1538673256 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Paradigm Hormones, PLLC |
| Authorized official | Nikki Busellato — Ins. Credentialing · (405) 703-3614 |
| Other names | Paradigm Hormones |
| NPI enumerated | November 17, 2017 |
| Last updated in NPPES | November 17, 2017 |
| Mailing address | 1301 S I 35 Service Rd Ste 106, Moore, OK 73160-3187 |