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Individual

MRS. LINDSEY ERIN HEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
410 4TH ST, SUITES A & B, ALVA, OK 73717-2372
(580) 430-3328
(580) 430-3376
Mailing address
410 4TH ST, SUITES A & B, ALVA, OK 73717-2372
(580) 430-3328
(580) 430-3376

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2079
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200458820A
OK
Enumeration date
01/20/2012
Last updated
01/25/2016
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