Lucenta, Bryan Allen

Lucenta, Bryan Allen is an individual health care provider with primary practice located at 101 Rockefeller Dr Ste 100 , Muskogee OK 74401-5050. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Lucenta, Bryan Allen can be contacted via phone (918) 683-1831.

Contact Information

Primary practice address
101 Rockefeller Dr Ste 100 Muskogee OK 74401-5050
Phone: (918) 683-1831
Fax: (918) 687-7043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 15220 Oklahoma

Profile Details

NPI number 1699886077
LBN Legal business name Lucenta, Bryan Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 2nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699886077 NPPES
Oklahoma MEDICAID 100090100A

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