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NPI Code Detail

MEDICARE: LINDSAY CUNNINGHAM D.O.

MEDICARE: LINDSAY CUNNINGHAM D.O.
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
1207RR0500XRheumatology Physician5417OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366709354
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY CUNNINGHAM D.O.
Provider Business Mailing Address
First Line : 2622 E 21ST ST STE 1
Second Line :
City : TULSA
State : OK
Zip : 74114-1738
Country : US
Telephone Number : 918-935-2775
Fax Number : 539-867-1681
Provider Business Practice Location Address
First Line : 2622 E 21ST ST STE 1
Second Line :
City : TULSA
State : OK
Zip : 74114-1738
Country : US
Telephone Number : 918-935-2775
Fax Number : 539-867-1681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2012
Last Update Date : 07/27/2025

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Directions to “ LINDSAY CUNNINGHAM D.O.” Practice Location

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