Provider Demographics
NPI:1205245826
Name:THE LAMKIN CLINIC
Entity type:Organization
Organization Name:THE LAMKIN CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:LAMKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:405-285-4762
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:918-285-4762
Mailing Address - Fax:918-285-4352
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:918-285-4762
Practice Address - Fax:918-285-4352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty