Lamont Edward Cavanagh
Family Doctor Family Doctor - Sports Medicine
5005 S Darlington Ave # 100
Tulsa
, Oklahoma 74135-7307
Lamont Edward Cavanagh
Family Doctor Family Doctor - Sports Medicine
5005 S Darlington Ave # 100
Tulsa
, Oklahoma 74135-7307
(918) 619-4639
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Lamont Edward Cavanagh
- Po Box 268838
- Oklahoma City, OK
- Zip : 73126-8838
- Fax : (918) 619-4639
- Phone : (918) 619-4400
Second Address
- Lamont Edward Cavanagh
- 5005 S Darlington Ave # 100
- Tulsa, OK
- Zip : 74135-7307
- Fax : (918) 619-4639
- Phone : (918) 619-4400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 18457 | OK |
| Y | 207QS0010X | Family Doctor - Sports Medicine | 18457 | OK |
National Provider Identifier
| NPI | 1336111210 |
|---|---|
| Provider Name | Lamont Edward Cavanagh |
| First Address | Oklahoma City, OK 73126-8838 |
| Second Address | Tulsa, OK 74135-7307 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/02/2006 |
| Last Update Date | 16/08/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100137310C | (05) | OK |
| G80746 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.