| Doctor Name: | LAKETA SMITH HALPINE |
| NPI Number: | 1295016343 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 5289 |
| Business Practice Address: | 7010 S. Utica Ave. Tulsa, OK - 741363904 |
| Business Phone Number: | 9187649220 |
| Business Fax Number: | 9187649214 |
| Mailing Address: | 7010 S. Utica Ave., TULSA |
| State: | OK |
| Postal Code: | 741363904 |
| Phone Number: | 9187649220 |
| Fax Number: | 9187649214 |
| NPI Enumeration Date: | 09/02/2011 |
| NPI Last Update Date: | 12/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5289 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |