Healthcare Provider Details

I. General information

NPI: 1831461938
Provider Name (Legal Business Name): LORI D. ARNEY D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2012
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 LONE OAK CIR
FORT GIBSON OK
74434-5001
US

IV. Provider business mailing address

1387 W 4TH ST
TAHLEQUAH OK
74464-9766
US

V. Phone/Fax

Practice location:
  • Phone: 918-478-6005
  • Fax: 918-478-6020
Mailing address:
  • Phone: 918-913-1826
  • Fax: 918-431-4112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number5179
License Number StateOK
# 2
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: