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Individual

DR. LYNN MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4545 N LINCOLN BLVD, SUITE 124, OKLAHOMA CITY, OK 73105-3418
(405) 522-7365
(405) 530-3218
Mailing address
4545 N LINCOLN BLVD, SUITE 124, OKLAHOMA CITY, OK 73105-3418
(405) 522-7365
(405) 530-3218

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15345
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100629540 A
OK
Enumeration date
06/03/2008
Last updated
06/03/2008
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