Healthcare Provider Details

I. General information

NPI: 1811506389
Provider Name (Legal Business Name): LEE SYKES ARNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2020
Last Update Date: 02/25/2022
Certification Date: 02/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 HEALTHPLEX PKWY
NORMAN OK
73072-9753
US

IV. Provider business mailing address

4704 SW 125TH PL
OKLAHOMA CITY OK
73173-8165
US

V. Phone/Fax

Practice location:
  • Phone: 405-515-2222
  • Fax:
Mailing address:
  • Phone: 405-650-2012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number85172
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: