Healthcare Provider Details

I. General information

NPI: 1356759120
Provider Name (Legal Business Name): BELINDA LECHTENBERG APRN-CCNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2014
Last Update Date: 07/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 NW EXPRESSWAY STE 711
OKLAHOMA CITY OK
73112-4418
US

IV. Provider business mailing address

4900 N COLLEGE AVE
BETHANY OK
73008-2643
US

V. Phone/Fax

Practice location:
  • Phone: 405-053-7307
  • Fax:
Mailing address:
  • Phone: 405-503-7307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number35433
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: