Provider Demographics
NPI:1619996014
Name:LAMKIN, BRIAN E (DO)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:E
Last Name:LAMKIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 N BRYANT AVE
Mailing Address - Street 2:SUITE A9
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-6302
Mailing Address - Country:US
Mailing Address - Phone:405-285-4762
Mailing Address - Fax:405-285-4352
Practice Address - Street 1:120 N BRYANT AVE
Practice Address - Street 2:SUITE A9
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-6302
Practice Address - Country:US
Practice Address - Phone:405-285-4762
Practice Address - Fax:405-285-4352
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4086207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKOKA105451Medicare PIN