Provider Demographics
NPI:1598308736
Name:SEABOLT-SHIMEK, LYNDI ANN
Entity Type:Individual
Prefix:MRS
First Name:LYNDI
Middle Name:ANN
Last Name:SEABOLT-SHIMEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 SW 89TH ST APT 10207
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-7943
Mailing Address - Country:US
Mailing Address - Phone:405-620-0500
Mailing Address - Fax:
Practice Address - Street 1:3131 SW 89TH ST APT 10207
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-7943
Practice Address - Country:US
Practice Address - Phone:405-620-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist