Provider Demographics
NPI:1043814023
Name:LUTHERAN SENIOR CITIZENS, INC
Entity Type:Organization
Organization Name:LUTHERAN SENIOR CITIZENS, INC
Other - Org Name:CONCORDIA LIFE PLAN COMMUNITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:EISCHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-720-7200
Mailing Address - Street 1:7707 W BRITTON RD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-1512
Mailing Address - Country:US
Mailing Address - Phone:405-720-7200
Mailing Address - Fax:405-621-8701
Practice Address - Street 1:7707 W BRITTON RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-1512
Practice Address - Country:US
Practice Address - Phone:405-720-7200
Practice Address - Fax:405-621-8701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty