Provider Demographics
NPI:1548075492
Name:VANG, LEHI TOUNHIA (PA-C)
Entity type:Individual
Prefix:
First Name:LEHI
Middle Name:TOUNHIA
Last Name:VANG
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 W DEER VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:CATOOSA
Mailing Address - State:OK
Mailing Address - Zip Code:74015-2351
Mailing Address - Country:US
Mailing Address - Phone:918-607-4095
Mailing Address - Fax:
Practice Address - Street 1:2408 E 81ST ST STE 110
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-4215
Practice Address - Country:US
Practice Address - Phone:405-615-2760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5482207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty