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NPI Code Detail

MEDICARE: DEBORAH LAVON DRAKE

MEDICARE:   DEBORAH LAVON DRAKE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseR0062897OK

General Provider Information

NPI Number : 1982567467
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH LAVON DRAKE
Provider Business Mailing Address
First Line : 6128 E 38TH ST
Second Line :
City : TULSA
State : OK
Zip : 74135-5832
Country : US
Telephone Number : 844-458-2100
Fax Number :
Provider Business Practice Location Address
First Line : 6128 E 38TH ST
Second Line :
City : TULSA
State : OK
Zip : 74135-5832
Country : US
Telephone Number : 844-458-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “ DEBORAH LAVON DRAKE ” Practice Location

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