Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEE RICHERSON MACKIN, PA-C
ActiveLEE RICHERSON MACKIN, PA-C is a Surgical Physician Assistant healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1235293804 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · OKLAHOMA CITY, OK
Registration Details
- NPI Number
- 1235293804
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 20, 2006 (19.683098826586 yrs)
- Last Updated
- Aug 21, 2023
- Licenses
-
PA-508 (AL)5062 (OK)
Practice Information
- Address
-
13100 N WESTERN AVE STE 303OKLAHOMA CITY, OK, 731141432Browse OK providers · Browse ZIP 73114
- Phone
- 8007811220
- Fax
- 8886788616
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in OKLAHOMA CITY, OK
| Name | Credential | NPI |
|---|---|---|
| MARK DANIEL JOHNSON | PA-C | 1508855677 |
| DEMETRIOUS FARROW | PA-C | 1598754608 |
| MS. AMY B RISLEY | PA | 1487626826 |
| MR. GRANT D ROBERTS | PA | 1336111483 |
| MR. RANDALL ASHLEY PAPE | PA-C | 1891761136 |
| STEPHANIE R. GARRISON | P.A. | 1124094446 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.