Individual
LINDSEY C THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4221 S WESTERN AVE STE 2010, OKLAHOMA CITY, OK 73109-3445
(405) 644-5120
(405) 644-5309
Mailing address
5400 N INDEPENDENCE AVE STE 150, OKLAHOMA CITY, OK 73112-5300
(405) 951-4360
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2699
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2699
OKLAHOMA BOARD OF MEDICAL LICENSURE AND SUPERVISION
OK
Enumeration date
05/17/2017
Last updated
05/17/2017
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