Provider Demographics
NPI:1811580152
Name:LOOKOUT, DAWN CHERIE (APRN)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:CHERIE
Last Name:LOOKOUT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 KIHEKAH AVE
Mailing Address - Street 2:
Mailing Address - City:PAWHUSKA
Mailing Address - State:OK
Mailing Address - Zip Code:74056-3205
Mailing Address - Country:US
Mailing Address - Phone:918-287-5645
Mailing Address - Fax:918-287-9909
Practice Address - Street 1:721 KIHEKAH AVE
Practice Address - Street 2:
Practice Address - City:PAWHUSKA
Practice Address - State:OK
Practice Address - Zip Code:74056-3205
Practice Address - Country:US
Practice Address - Phone:918-287-5645
Practice Address - Fax:918-287-9909
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKF07202040363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner