Individual
DR. LYNN DEAN BAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
527 W 3RD ST, KONAWA, OK 74849-1415
(580) 925-3286
(580) 925-9149
Mailing address
527 W 3RD ST, KONAWA, OK 74849-1415
(580) 925-3286
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
14448
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14448
OK BOARD OF MEDICAL LICENSURE AND SUPERVISION
OK
Enumeration date
01/06/2009
Last updated
11/18/2021
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