Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifestyle Medicine, Inc

Organization Hematology (Internal Medicine) Physician · NPI 1366823932

Lifestyle Medicine, Inc provides Hematology (Internal Medicine) Physician services in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2015.

Licensed in
OK
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2405 E Skelly Dr
Tulsa, OK 74105-6006 Not confirmed with CMS for 11 years — call before visiting
Phone: (918) 488-9874
Fax: (918) 587-3437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology (Internal Medicine) Physician (primary) Taxonomy 207RH0000X · Licence 22105 (OK)

Record details

NPI number1366823932
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renae Mayer — Owner · (918) 488-9874
NPI enumeratedJune 9, 2015
Last updated in NPPESJune 9, 2015
Mailing address2405 E Skelly Dr, Tulsa, OK 74105-6006