Individual
DR. LYNN ALLAN WIENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6160 S YALE AVE, TULSA, OK 74136-1930
(918) 495-2636
(918) 495-2609
Mailing address
6160 S YALE AVE, TULSA, OK 74136-1930
(918) 495-2636
(918) 495-2609
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
27391
OK
207KA0200X
Allergy Physician
27391
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200263500A
—
OK
Enumeration date
02/09/2006
Last updated
03/24/2020
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