Individual
JEANENE LEE LINDSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8333 NW 30TH ST, BETHANY, OK 73008-4335
(405) 370-3446
Mailing address
8333 NW 30TH ST, BETHANY, OK 73008-4335
(405) 370-3446
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
A0503
OK
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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