Individual
ETHAN D LINDSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1117 NW 50TH ST, OKLAHOMA CITY, OK 73118-4401
(405) 842-4435
(405) 842-2846
Mailing address
1117 NW 50TH ST, OKLAHOMA CITY, OK 73118-4401
(405) 842-4435
(405) 842-2846
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
16538
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100130670C
—
OK
Enumeration date
09/01/2005
Last updated
09/09/2010
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