Doctor Name: | DR. LAWRENCE HENRY TROMBKA |
NPI Number: | 1295030484 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 16300 |
Business Practice Address: | 601 S 124th St W Taft, OK - 744630316 |
Business Phone Number: | 9186827841 |
Business Fax Number: | 9186824372 |
Mailing Address: | 6105 E 76th Pl, TULSA |
State: | OK |
Postal Code: | 741368549 |
Phone Number: | 9187041958 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2011 |
NPI Last Update Date: | 01/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 16300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |