Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist |
NPI | 1487299376 |
---|---|
Provider Name | Lindsay Ann Lafuente |
First Address | Choctaw, OK 73020-5009 |
Second Address | Oklahoma City, OK 73102-2619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2019 |
Last Update Date | 14/11/2019 |