Healthcare Provider Details
I. General information
NPI: 1497953665
Provider Name (Legal Business Name): LUCIAN K SEATON BSN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/10/2007
Last Update Date: 07/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
909 ALAMEDA ST
NORMAN OK
73071-5229
US
IV. Provider business mailing address
7924 CHOUTEAU SPGS CIR RD
LEXINGTON OK
73051-4800
US
V. Phone/Fax
- Phone: 405-360-5100
- Fax: 405-573-3962
- Phone: 405-361-6697
- Fax: 405-872-0949
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP0807X |
| Taxonomy | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
| License Number | R0049936 |
| License Number State | OK |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WP0809X |
| Taxonomy | Adult Psychiatric/Mental Health Registered Nurse |
| License Number | R0049936 |
| License Number State | OK |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: