MEDICARE: LINDSEY CLAIRE EPPERSON

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	207P00000X	Emergency Medicine Physician	0131R	OK

General Provider Information

NPI Number	:	1790137560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY CLAIRE EPPERSON

Provider Business Mailing Address
First Line	:	4200 S DOUGLAS AVE STE 306
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-3215
Country	:	US
Telephone Number	:	405-636-7195
Fax Number	:	405-979-8448

Provider Business Practice Location Address
First Line	:	4200 S DOUGLAS AVE STE 306
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-3215
Country	:	US
Telephone Number	:	405-636-7195
Fax Number	:	405-979-8448

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2016
Last Update Date	:	07/05/2016

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Directions to “ LINDSEY CLAIRE EPPERSON ” Practice Location

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