Individual
LINDSEY MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6050 ROTHWELL ST, FORT SILL, OK 73503-4482
(405) 351-2153
Mailing address
224 S MAPLE ST, CRESCENT, OK 73028-9132
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
770
OK
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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