MEDICARE: THE LYNN HEALTH SCIENCE INSTITUTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1093797730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE LYNN HEALTH SCIENCE INSTITUTE

Provider Business Mailing Address
First Line	:	3555 NW 58TH ST
Second Line	:	STE. 800
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4707
Country	:	US
Telephone Number	:	405-602-3939
Fax Number	:	405-602-3945

Provider Business Practice Location Address
First Line	:	3555 NW 58TH ST
Second Line	:	STE 800
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4707
Country	:	US
Telephone Number	:	405-602-3939
Fax Number	:	405-602-3945

Authorized Official
Title or Position	:	CHIEF OPERATION OFFICER
Name	:	MR. FRANKLIN K WILLIS
Credential	:
Telephone Number	:	405-602-3919

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	01/18/2008

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