MEDICARE: DR. LAWRENCE VIVIAN DECK III M.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	174400000X	Specialist	16185	OK

General Provider Information

NPI Number	:	1467495911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE VIVIAN DECK III M.D.

Provider Business Mailing Address
First Line	:	13321 N MERIDIAN AVE
Second Line	:	STE 212
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-8356
Country	:	US
Telephone Number	:	405-607-8945
Fax Number	:	405-607-8946

Provider Business Practice Location Address
First Line	:	13321 N MERIDIAN AVE
Second Line	:	STE 400A
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-8356
Country	:	US
Telephone Number	:	405-607-8945
Fax Number	:	405-607-8946

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

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	02/22/2024

Similar Medicare Providers

1467898924 — WILLIAM KING WOOD M.D.
Practice Location Address:

13321 N MERIDIAN AVE
OKLAHOMA CITY, OK
73120-8356

Practice Phone: 405-755-1080
Practice Fax:

1780689307 — DR. MICHAEL KENNETH CRAWFORD MD
Practice Location Address:

13321 N MERIDIAN AVE , STE 210
OKLAHOMA CITY, OK
73120-8356

Practice Phone: 405-748-4343
Practice Fax: 405-748-5040

1386638633 — DEENA A SYLVESTER M.D.
Practice Location Address:

13321 N MERIDIAN AVE STE 101
OKLAHOMA CITY, OK
73120-8356

Practice Phone: 405-607-8948
Practice Fax:

1548255599 — MRS. KIM SPROUSE CLEMENTS APRN, CNP
Practice Location Address:

13321 N MERIDIAN AVE , H-MD MEDSPA
OKLAHOMA CITY, OK
73120-8356

Practice Phone: 405-463-5700
Practice Fax: 405-463-5705

1043298177 — JAMES AMEDIO TOTORO MD
Practice Location Address:

13321 N MERIDIAN AVE , SUITE 400
OKLAHOMA CITY, OK
73120-8356

Practice Phone: 405-608-6868
Practice Fax: 405-463-3326

1023184231 — DR. GARLANDA LEA PARKER M.D.
Practice Location Address:

13321 N MERIDIAN AVE , SUITE 200
OKLAHOMA CITY, OK
73120-8356

Practice Phone: 405-749-9216
Practice Fax: 405-749-9210

Directions to “ DR. LAWRENCE VIVIAN DECK III M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.