Provider Demographics
NPI:1437220449
Name:LUNN, COYALITA (BA, BHRS)
Entity Type:Individual
Prefix:
First Name:COYALITA
Middle Name:
Last Name:LUNN
Suffix:
Gender:F
Credentials:BA, BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 12TH AVE NE APT B
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-6161
Mailing Address - Country:US
Mailing Address - Phone:405-701-8571
Mailing Address - Fax:
Practice Address - Street 1:SE OF BOLEY ON HWY 62
Practice Address - Street 2:
Practice Address - City:BOLEY
Practice Address - State:OK
Practice Address - Zip Code:74829
Practice Address - Country:US
Practice Address - Phone:918-667-3633
Practice Address - Fax:918-667-3651
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator