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NPI Code Detail

MEDICARE: LINDSAY STUART

MEDICARE: LINDSAY STUART
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1649786070
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY STUART
Provider Business Mailing Address
First Line : 2248 NW 164TH ST
Second Line :
City : EDMOND
State : OK
Zip : 73013-8801
Country : US
Telephone Number : 405-562-3776
Fax Number :
Provider Business Practice Location Address
First Line : 2248 NW 164TH ST
Second Line :
City : EDMOND
State : OK
Zip : 73013-8801
Country : US
Telephone Number : 405-562-3776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2017
Last Update Date : 02/02/2023

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Directions to “ LINDSAY STUART ” Practice Location

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