Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 23502 | OK |
NPI | 1073641395 |
---|---|
Provider Name | Dr. Lamiaa Hassan Ali |
First Address | Tulsa, OK 74133-6968 |
Second Address | Tulsa, OK 74135-2527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2007 |
Last Update Date | 28/08/2007 |