Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 29228 | OK |
N | 111NI0900X | Internist | 29228 | OK |
NPI | 1003176710 |
---|---|
Provider Name | Evelyn Lorents |
First Address | Oklahoma City, OK 73104-5036 |
Second Address | Oklahoma City, OK 73104-5036 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2012 |
Last Update Date | 18/08/2021 |