OrganizationActive
Lifestyle Medical Center, PLLC
NPI 1992214548 · General Practice Physician · Tulsa, OK
Provider details
- NPI number
- 1992214548
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gerry Langston, President(918) 747-5555
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4505 S Harvard Ave
Tulsa, OK 74135-2905
Phone: (918) 747-5555
Street-level locationGet directions
Mailing address
4505 S Harvard Ave
Tulsa, OK 74135-2905
Registry dates
- Enumerated
- 2017-09-27
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.