Individual
LYNSIE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
617 N UNIVERSITY BLVD, NORMAN, OK 73069-7054
(580) 504-4557
Mailing address
617 N UNIVERSITY BLVD, NORMAN, OK 73069-7054
(580) 504-4557
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
607
OK
390200000X
Student in an Organized Health Care Education/Training Program
607
OK
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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