Healthcare Provider Details

I. General information

NPI: 1295901692
Provider Name (Legal Business Name): YURI CHUN LANSINGER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: YURI CHUN M.D.

II. Dates (important events)

Enumeration Date: 05/06/2008
Last Update Date: 09/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 NE 10TH ST OUPB 1C
OKLAHOMA CITY OK
73104-5417
US

IV. Provider business mailing address

PO BOX 26901 DEPT OF ORTHOPEDIC SURGERY AND REHABILITATION
OKLAHOMA CITY OK
73126-0901
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-2663
  • Fax: 405-271-3074
Mailing address:
  • Phone: 405-271-4426
  • Fax: 405-271-3074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMT190638
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD444632
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number29876
License Number StateOK
# 4
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number29876
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: