NPI Code Details Logo

NPI 1568687515

NPI 1568687515 : KAY SEE LASLEY DPH, MS, LCPC : TULSA, OK

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1568687515
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KAY SEE LASLEY DPH, MS, LCPC
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/16/2007
-----------------------------------------------------
    Last Update Date     |    02/11/2012
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6328 E 72ND ST APT 514 
-----------------------------------------------------
    City                 |    TULSA
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    74136-6932
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    918-477-9052
-----------------------------------------------------
    Fax                  |    918-492-8245
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6328 E 72ND ST APT 514 
-----------------------------------------------------
    City                 |    TULSA
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    74136-6932
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    918-477-9052
-----------------------------------------------------
    Fax                  |    918-492-8245
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1835X0200X
-----------------------------------------------------
    Taxonomy Name        |    Oncology Pharmacist
-----------------------------------------------------
    License Number       |    9179
-----------------------------------------------------
    License Number State |    OK
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    183500000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacist
-----------------------------------------------------
    License Number       |    9179
-----------------------------------------------------
    License Number State |    OK
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    1835P1200X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacotherapy Pharmacist
-----------------------------------------------------
    License Number       |    9179
-----------------------------------------------------
    License Number State |    OK
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.