Individual
LINDSEY HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W 10TH ST, SHAWNEE, OK 74801-6804
(405) 519-1910
Mailing address
110 W 10TH ST, SHAWNEE, OK 74801-6804
(405) 519-1910
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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