Provider Demographics
NPI:1790137560
Name:EPPERSON, LINDSEY CLAIRE
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:CLAIRE
Last Name:EPPERSON
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 1:4200 S DOUGLAS AVE STE 306
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73109-3215
Mailing Address - Country:US
Mailing Address - Phone:405-636-7195
Mailing Address - Fax:405-979-8448
Practice Address - Street 1:4200 S DOUGLAS AVE STE 306
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-3215
Practice Address - Country:US
Practice Address - Phone:405-636-7195
Practice Address - Fax:405-979-8448
Is Sole Proprietor?:No
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK0131R207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine