MEDICARE: LOUISE L ALEXANDER

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1619288990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUISE L ALEXANDER

Provider Business Mailing Address
First Line	:	4400 N LINCOLN BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73105-5108
Country	:	US
Telephone Number	:	405-525-3959
Fax Number	:

Provider Business Practice Location Address
First Line	:	5108 SE 51ST ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-4122
Country	:	US
Telephone Number	:	405-306-2816
Fax Number	:

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

Provider Enumeration Date	:	07/01/2010
Last Update Date	:	06/27/2024

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Directions to “ LOUISE L ALEXANDER ” Practice Location

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