Provider Demographics
NPI:1912391715
Name:HIGHFILL, LANCE (DC)
Entity Type:Individual
Prefix:DR
First Name:LANCE
Middle Name:
Last Name:HIGHFILL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4785 E 91ST ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-2820
Mailing Address - Country:US
Mailing Address - Phone:918-488-8600
Mailing Address - Fax:918-488-9604
Practice Address - Street 1:4785 E 91ST ST
Practice Address - Street 2:SUITE B
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-2820
Practice Address - Country:US
Practice Address - Phone:918-488-8600
Practice Address - Fax:918-488-9604
Is Sole Proprietor?:No
Enumeration Date:2015-03-19
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4190111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor