Individual
LARRY LINDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 W. BROADWAY, SULPHUR, OK 73086-2700
(580) 622-2783
Mailing address
PO BOX 554, STRATFORD, OK 74872-0554
(580) 759-2733
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
OK
101YP2500X
Professional Counselor
Primary
—
OK
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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