Provider Information for 1083796528
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Mr. LAWRENCE JAMES LOSONCY Ph.D.
Sex: Male
NPI: 1083796528
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1083796528 | ||||||||
| Enumeration Date | 2006-10-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 7855 S 95TH EAST AVE TULSA, OK 74133-4947 United States Phone: 918-640-9004 | Fax:918-250-5904 | ||||||||
| Primary Practice Address | 2316 S GARNETT RD SUITE A TULSA, OK 74129-5120 United States Phone: 918-622-3393 | Fax: | ||||||||
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