Provider Demographics
NPI:1023034410
Name:DLUGOKINSKI, LESLEY JOSEPHINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:LESLEY
Middle Name:JOSEPHINE
Last Name:DLUGOKINSKI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5956 NW 71ST ST
Mailing Address - Street 2:
Mailing Address - City:WARR ACRES
Mailing Address - State:OK
Mailing Address - Zip Code:73132-6518
Mailing Address - Country:US
Mailing Address - Phone:405-848-7321
Mailing Address - Fax:405-728-1673
Practice Address - Street 1:5916 W HEFNER RD
Practice Address - Street 2:#N
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-4951
Practice Address - Country:US
Practice Address - Phone:405-848-7321
Practice Address - Fax:405-728-1673
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK488103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100842440AMedicaid
OK200522077Medicare ID - Type Unspecified