Doctor Name: | LISA J WASEMILLER-SMITH |
NPI Number: | 1417954504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MD13137 |
Business Practice Address: | 11200 N Portland Ave Oklahoma City, OK - 731205045 |
Business Phone Number: | 4059361100 |
Business Fax Number: | 4059361122 |
Mailing Address: | 11200 N Portland Ave, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731205045 |
Phone Number: | 4059361100 |
Fax Number: | 4059361122 |
NPI Enumeration Date: | 07/05/2005 |
NPI Last Update Date: | 05/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/20/2006 |
NPI Reactivation Date: | 03/23/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | MD13137 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |