Organization
HEALTHCARE STAT OF LINDSAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN P BONILLA APRN (OWNER/PROVIDER)
(405) 659-5656
Entity
Organization
Contact information
Practice address
301 E CHEROKEE ST STE F, LINDSAY, OK 73052-4414
(405) 659-5656
(405) 701-5421
Mailing address
PO BOX 5908, NORMAN, OK 73070-5908
(405) 659-5656
(405) 701-5421
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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