Individual
LINDSAY ANNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1011 14TH AVE NW, ARDMORE, OK 73401
(580) 220-6132
(580) 220-6772
Mailing address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 220-6132
(580) 220-6772
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5100
OK
207P00000X
Emergency Medicine Physician
P7806
TX
Other
Enumeration date
07/08/2011
Last updated
08/22/2018
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