Individual
LYNN A MCCLINTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 S 40TH ST, MUSKOGEE, OK 74401-4915
(918) 683-0753
(918) 683-5677
Mailing address
350 S 40TH ST, MUSKOGEE, OK 74401-4915
(918) 683-0753
(918) 683-5677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16490
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100131220A
—
OK
Enumeration date
03/14/2006
Last updated
05/17/2019
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