Healthcare Provider Details

I. General information

NPI: 1124502778
Provider Name (Legal Business Name): GERI LYNN OLIVEIRA L.AC, DIPL. O.M
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2018
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3851 TUXEDO BLVD STE E
BARTLESVILLE OK
74006-2519
US

IV. Provider business mailing address

3851 TUXEDO BLVD STE E
BARTLESVILLE OK
74006-2519
US

V. Phone/Fax

Practice location:
  • Phone: 918-350-4203
  • Fax:
Mailing address:
  • Phone: 918-350-4203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number2298
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: