Provider Demographics
NPI:1336318575
Name:LYNN HEALTH SCIENCE INSTITUTE INC.
Entity Type:Organization
Organization Name:LYNN HEALTH SCIENCE INSTITUTE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:POJEZNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-602-3931
Mailing Address - Street 1:3555 NW 58TH ST
Mailing Address - Street 2:STE 800
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4707
Mailing Address - Country:US
Mailing Address - Phone:405-602-3939
Mailing Address - Fax:405-602-3945
Practice Address - Street 1:3555 NW 58TH ST
Practice Address - Street 2:STE 800
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4707
Practice Address - Country:US
Practice Address - Phone:405-602-3939
Practice Address - Fax:405-602-3945
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LYNN HEALTH SCIENCE INSITUTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-21
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100812070AMedicaid
OK100812070AMedicaid