MEDICARE: LAWRENCE K. DEAL BHCM

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	:	1811879216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAWRENCE K. DEAL BHCM

Provider Business Mailing Address
First Line	:	9209 BUTTONWOOD AVE
Second Line	:
City	:	MOORE
State	:	OK
Zip	:	73160-9108
Country	:	US
Telephone Number	:	405-882-9147
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 S MERIDIAN AVE STE 101
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73108-1013
Country	:	US
Telephone Number	:	405-888-4027
Fax Number	:

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

Provider Enumeration Date	:	07/24/2025
Last Update Date	:	07/24/2025

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