MEDICARE: DR. LESLEY JOSEPHINE DLUGOKINSKI PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	488	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023034410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LESLEY JOSEPHINE DLUGOKINSKI PH.D.

Provider Business Mailing Address
First Line	:	5956 NW 71ST ST
Second Line	:
City	:	WARR ACRES
State	:	OK
Zip	:	73132-6518
Country	:	US
Telephone Number	:	405-848-7321
Fax Number	:	405-728-1673

Provider Business Practice Location Address
First Line	:	5916 W HEFNER RD
Second Line	:	#N
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-4951
Country	:	US
Telephone Number	:	405-848-7321
Fax Number	:	405-728-1673

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	07/08/2007

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