Healthcare Provider Details

I. General information

NPI: 1053035998
Provider Name (Legal Business Name): LUCAS CHRISTOPHER MORTON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2022
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E MAIN ST
NORMAN OK
73069-1305
US

IV. Provider business mailing address

300 E MAIN ST
NORMAN OK
73069-1305
US

V. Phone/Fax

Practice location:
  • Phone: 405-573-6602
  • Fax:
Mailing address:
  • Phone: 405-573-6602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number9157
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number9157
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: