Healthcare Provider Details

I. General information

NPI: 1083520332
Provider Name (Legal Business Name): LIFESHARE TRANSPLANT DONOR SERVICES OF OKLAHOMA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4705 NW EXPRESSWAY
OKLAHOMA CITY OK
73132-5213
US

IV. Provider business mailing address

4705 NW EXPRESSWAY
OKLAHOMA CITY OK
73132-5213
US

V. Phone/Fax

Practice location:
  • Phone: 405-840-5551
  • Fax: 405-212-5161
Mailing address:
  • Phone: 405-840-5551
  • Fax: 405-212-5161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335U00000X
TaxonomyOrgan Procurement Organization
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY ORLOWSKI
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 405-840-5551