Doctor Name: | LYNN DUNSON |
NPI Number: | 1568452134 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | ROO52158 |
Business Practice Address: | 1201 Heritage Cir Pawnee, OK - 740583744 |
Business Phone Number: | 9187626546 |
Business Fax Number: | 9187624614 |
Mailing Address: | 101 Park Pl, PONCA CITY |
State: | OK |
Postal Code: | 746045688 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/25/2005 |
NPI Last Update Date: | 06/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ROO52158 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |