Healthcare Provider Details

I. General information

NPI: 1295227122
Provider Name (Legal Business Name): ELIZABETH LANGTHORN MD MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2018
Last Update Date: 01/11/2026
Certification Date: 01/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 NE 10TH ST
OKLAHOMA CITY OK
73104-5420
US

IV. Provider business mailing address

900 NE 10TH ST
OKLAHOMA CITY OK
73104-5420
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-4311
  • Fax: 405-271-2797
Mailing address:
  • Phone: 405-271-4311
  • Fax: 405-271-2797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD18014
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number33842
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberEL10676
License Number StateNH
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: