Healthcare Provider Details

I. General information

NPI: 1679577696
Provider Name (Legal Business Name): LINDSAY M FLAMING ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 02/08/2021
Certification Date: 02/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16925 NE 23RD ST STE 103
CHOCTAW OK
73020-8410
US

IV. Provider business mailing address

16925 NE 23RD ST STE 103
CHOCTAW OK
73020-8410
US

V. Phone/Fax

Practice location:
  • Phone: 405-620-0049
  • Fax: 405-281-5726
Mailing address:
  • Phone: 405-620-0049
  • Fax: 405-281-5726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR0076575
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: