1. Home
  2. Directory
  3. Oklahoma
  4. Tulsa
  5. General Practice
  6. NPI Profile

LIFESTYLE MEDICAL CENTER, PLLC
NPI 1992214548
General Practice in Tulsa, OK

Active since September 27, 2017
4505 S HARVARD AVE, TULSA, OK 74135(918) 747-5555 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifestyle Medical Center, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESTYLE MEDICAL CENTER, PLLC (NPI 1992214548) is a healthcare organization registered as a general practice in Tulsa, Oklahoma and active in the NPI registry since September 2017. The organization lists Gerry D Langston, President, as its authorized official.

NPPES Registry Identity

NPI1992214548
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLIFESTYLE MEDICAL CENTER, PLLC
Location Address4505 S HARVARD AVETulsa, OK 74135-2905
Mailing Address4505 S Harvard AveTulsa, OK 74135-2905 · (918) 747-5555
Phone(918) 747-5555
Organization SubpartNo
Authorized OfficialGerry D LangstonPresident · (918) 747-5555
Enumeration DateSeptember 27, 2017
Last NPPES UpdateJuly 21, 2022
✔ NPI 1992214548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4505 S HARVARD AVE, Tulsa, OK 74135
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifestyle Medical Center, PLLC's NPI number?

The NPI number for Lifestyle Medical Center, PLLC is 1992214548. It was assigned to this organization in the NPPES registry on September 27, 2017.

Where is Lifestyle Medical Center, PLLC located?

Lifestyle Medical Center, PLLC is located at 4505 S Harvard Ave, Tulsa, OK 74135. The listed phone number is (918) 747-5555.

What is Lifestyle Medical Center, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Lifestyle Medical Center, PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.