Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 54139 | AZ |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 35965 | OK |
NPI | 1649657263 |
---|---|
Provider Name | Lindsey B Stull |
First Address | Oklahoma City, OK 73104-5018 |
Second Address | Oklahoma City, OK 73104-5018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2015 |
Last Update Date | 14/06/2020 |