Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 62315 | OK |
NPI | 1023391067 |
---|---|
Provider Name | Mrs. Linda Lee Lea |
First Address | Oklahoma City, OK 73120-8869 |
Second Address | Oklahoma City, OK 73120-8869 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2011 |
Last Update Date | 09/11/2016 |