Individual
MR. EDWARD EARL LINDSEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 NE 1ST ST, WAGONER, OK 74467-4439
(918) 201-4333
Mailing address
32129 E 721 RD, WAGONER, OK 74467-7390
(501) 467-4758
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
01/23/2026
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