Healthcare Provider Details

I. General information

NPI: 1093797730
Provider Name (Legal Business Name): THE LYNN HEALTH SCIENCE INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 01/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 NW 58TH ST STE 800
OKLAHOMA CITY OK
73112-4707
US

IV. Provider business mailing address

3555 NW 58TH ST STE. 800
OKLAHOMA CITY OK
73112-4707
US

V. Phone/Fax

Practice location:
  • Phone: 405-602-3939
  • Fax: 405-602-3945
Mailing address:
  • Phone: 405-602-3939
  • Fax: 405-602-3945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANKLIN K WILLIS
Title or Position: CHIEF OPERATION OFFICER
Credential:
Phone: 405-602-3919