MEDICARE: LINDSEY PAYTON

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1740864297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDSEY PAYTON

Provider Business Mailing Address
First Line	:	1615 NW 31ST ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-3611
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1615 NW 31ST ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-3611
Country	:	US
Telephone Number	:	405-215-9541
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	LINDSEY PAYTON
Credential	:
Telephone Number	:	405-215-9541

Provider Enumeration Date	:	05/11/2021
Last Update Date	:	05/11/2021

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Directions to “LINDSEY PAYTON ” Practice Location

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