Healthcare Provider Details

I. General information

NPI: 1790451722
Provider Name (Legal Business Name): LINDSEY SUE CONNER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2021
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20245 FLAT ARMADILLO ROAD
LEXINGTON OK
73051-7305
US

IV. Provider business mailing address

PO BOX 584
LEXINGTON OK
73051-0584
US

V. Phone/Fax

Practice location:
  • Phone: 405-863-2638
  • Fax:
Mailing address:
  • Phone: 405-863-2638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number205122
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR0094553
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: