Provider Demographics
NPI:1760608293
Name:WALKER, LYNN APRIL (LADC)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:APRIL
Last Name:WALKER
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:346451 E 4800 RD
Mailing Address - Street 2:
Mailing Address - City:PAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74058-5310
Mailing Address - Country:US
Mailing Address - Phone:918-762-4403
Mailing Address - Fax:
Practice Address - Street 1:600 DENVER ST
Practice Address - Street 2:
Practice Address - City:PAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74058-3522
Practice Address - Country:US
Practice Address - Phone:918-762-3686
Practice Address - Fax:918-762-2617
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK152101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)