| Lindsey King Family Medicine | |
|
1200 W Albany St Broken Arrow OK 74012-8146 | |
| (918) 232-2940 | |
| Not Available |
| Full Name | Lindsey King Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1200 W Albany St, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Lindsey Marie King (OWNER) |
| Authorized Official Contact | 9182322940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lindsey King Family Medicine Po Box 4129 Tulsa OK 74159-0129 Ph: (918) 232-2940 | Lindsey King Family Medicine 1200 W Albany St Broken Arrow OK 74012-8146 Ph: (918) 232-2940 |
| NPI Number | 1881370245 |
|---|---|
| Provider Enumeration Date | 06/22/2023 |
| Last Update Date | 06/22/2023 |
| Medicare PECOS PAC ID | 3779946587 |
|---|---|
| Medicare Enrollment ID | O20230828000880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881370245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lindsey M King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235367996 PECOS PAC ID: 1658410501 Enrollment ID: I20091205000145 |
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