Individual
TERESA J LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2011 W BROADWAY AVE, SULPHUR, OK 73086-4221
(580) 622-4482
(580) 622-5509
Mailing address
PO BOX 1109, SULPHUR, OK 73086-8109
(580) 622-4482
(580) 297-9113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2278
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700790E
—
OK
Enumeration date
06/13/2006
Last updated
09/12/2025
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