Provider Demographics
NPI:1518328111
Name:SOLIS, LUANNE VO (DO)
Entity Type:Individual
Prefix:DR
First Name:LUANNE
Middle Name:VO
Last Name:SOLIS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:LUANNE
Other - Middle Name:THANH
Other - Last Name:VO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:102 NW 31ST ST
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-6100
Mailing Address - Country:US
Mailing Address - Phone:580-353-6790
Mailing Address - Fax:
Practice Address - Street 1:102 NW 31ST ST
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-6100
Practice Address - Country:US
Practice Address - Phone:580-353-6790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-10
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6258207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology