Lindsay Brooke Dlugonski Llc | |
545 S. 30th St Clinton OK 73601 | |
(580) 547-4087 | |
(580) 275-2838 |
Full Name | Lindsay Brooke Dlugonski Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 545 S. 30th St, Clinton, Oklahoma |
Authorized Official Name and Position | Lindsay Dlugonski (PRESIDENT) |
Authorized Official Contact | 5805474087 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lindsay Brooke Dlugonski Llc Po Box 12 Clinton OK 73601-0012 Ph: (580) 547-4087 | Lindsay Brooke Dlugonski Llc 545 S. 30th St Clinton OK 73601 Ph: (580) 547-4087 |
NPI Number | 1922739390 |
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Provider Enumeration Date | 06/17/2022 |
Last Update Date | 06/17/2022 |
Certification Date | 06/08/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922739390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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