Provider Demographics
NPI:1598896110
Name:SIKORA, MAGDALENA BARBARA (MD)
Entity Type:Individual
Prefix:DR
First Name:MAGDALENA
Middle Name:BARBARA
Last Name:SIKORA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1711 SW HASTY WAY
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-8505
Mailing Address - Country:US
Mailing Address - Phone:801-833-6878
Mailing Address - Fax:
Practice Address - Street 1:4417 W GORE BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-5978
Practice Address - Country:US
Practice Address - Phone:580-699-5400
Practice Address - Fax:580-699-5405
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK28703207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology