Provider Demographics
NPI:1710206313
Name:LINDSEY, CANDY LEE SCONYERS (DO)
Entity Type:Individual
Prefix:DR
First Name:CANDY
Middle Name:LEE SCONYERS
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:CANDY
Other - Middle Name:LEE
Other - Last Name:SCONYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:415 FAIRVIEW AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PONCA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:74601-1929
Mailing Address - Country:US
Mailing Address - Phone:580-762-9355
Mailing Address - Fax:580-762-9358
Practice Address - Street 1:415 FAIRVIEW AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:PONCA CITY
Practice Address - State:OK
Practice Address - Zip Code:74601-1929
Practice Address - Country:US
Practice Address - Phone:580-762-9355
Practice Address - Fax:580-762-9358
Is Sole Proprietor?:No
Enumeration Date:2010-05-20
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5099207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine