Healthcare Provider Details

I. General information

NPI: 1851218176
Provider Name (Legal Business Name): LYBBEE LYNN WEST OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2225 SE WASHINGTON BLVD
BARTLESVILLE OK
74006-7136
US

IV. Provider business mailing address

10006 E 99TH ST N
OWASSO OK
74055-6680
US

V. Phone/Fax

Practice location:
  • Phone: 918-333-9292
  • Fax:
Mailing address:
  • Phone: 580-330-1424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: