MEDICARE: PRECISION PERFORMANCE INSTITUTE, LLC

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	202D00000X	Integrative Medicine Physician

General Provider Information

NPI Number	:	1881522670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION PERFORMANCE INSTITUTE, LLC

Provider Business Mailing Address
First Line	:	1900 NW EXPRESSWAY STE 210
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-1850
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 NW EXPRESSWAY STE 210
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-1850
Country	:	US
Telephone Number	:	405-919-7174
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LESHA BURGESS
Credential	:
Telephone Number	:	405-919-7174

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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